Individual
MISS CAROL ANNE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 774-1055
Mailing address
23 HILLTOP RD, N WEYMOUTH, MA 02191-2209
(781) 910-7183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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