Organization
EGOWORKZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY COSTELLO NLP (NLP PRACTITIONER)
(540) 678-3629
Entity
Organization
Contact information
Practice address
419 SHENANDOAH PL, WINCHESTER, VA 22601-5163
(540) 678-3629
Mailing address
419 SHENANDOAH PL, WINCHESTER, VA 22601-5163
(540) 678-3629
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10-00012330
VA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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