Individual
MARIA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
23745 225TH WAY SE STE 207, MAPLE VALLEY, WA 98038-5294
(206) 594-5154
Mailing address
PO BOX 55151, SHORELINE, WA 98155-0151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61435619
WA
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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