Individual
BROOKE COSTANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4664 LARWELL DR, COLUMBUS, OH 43220-3621
(614) 487-7805
Mailing address
2820 QUARRY PT, COLUMBUS, OH 43204-3892
(440) 334-7375
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1904162
OH
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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