Individual
MRS. ANDREA SUE COSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
102 E. CHESTNUT, BLOOMINGTON, IL 61701
(309) 490-3060
(704) 980-3082
Mailing address
500 MANCHESTER RD, NORMAL, IL 61761-1520
(309) 826-3878
(704) 980-3082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
150111370
IL
1041C0700X
Clinical Social Worker
P018410
NC
Other
Enumeration date
09/08/2022
Last updated
05/14/2025
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