Individual
MRS. PATRICIA ANNE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
100 MEDICAL CENTER WAY, SOMERS POINT, NJ 08244
(609) 653-3500
Mailing address
100 MEDICAL CENTER WAY, SOMERS POINT, NJ 08244
(609) 653-3845
(609) 653-3618
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
445W00715100
NJ
Other
Enumeration date
11/06/2013
Last updated
01/10/2014
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