Individual
MS. CORRINE A COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 OCEAN PINES DR, SAGAMORE BEACH, MA 02562-2300
(508) 888-7828
Mailing address
26 OCEAN PINES DR, SAGAMORE BEACH, MA 02562-2300
(508) 888-7828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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