Individual
CIERRA ELIZABETH COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1212 N WOLFE ST, BALTIMORE, MD 21213-3303
(410) 276-2123
(410) 276-4070
Mailing address
1212 N WOLFE ST, BALTIMORE, MD 21213-3303
(410) 276-2123
(410) 276-4070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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