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Individual

MR. VINCENT NORMAN COSTELLO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
8080 OLD YORK ROAD, ELKINS PARK, PA 19027
(267) 626-2018
Mailing address
8080 OLD YORK ROAD, ELKINS PARK, PA 19027
(267) 626-2018

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137001
PA

Other

Enumeration date
01/31/2021
Last updated
01/31/2021
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