Individual
MOLLY ELIZABETH COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 S PLUM ST, SEATTLE, WA 98144-4539
(206) 441-3329
Mailing address
2120 S PLUM ST, SEATTLE, WA 98144-4539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SC61567079
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
02/22/2025
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