Individual
KAREN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
2309 WHISPERING MAPLE DR, ORLANDO, FL 32837-6706
(689) 204-9439
Mailing address
340 N FOX CHASE PT, LONGWOOD, FL 32779-3371
(407) 300-0869
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
—
FL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
02/15/2016
Last updated
11/06/2023
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