Individual
CHRISTIN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 VILLAGE ST STE A, SLIDELL, LA 70458-5302
(985) 710-5016
Mailing address
8326 KELWOOD AVE, BATON ROUGE, LA 70806-4803
(985) 710-5016
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/06/2023
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