Individual
MS. KELLEY ANNE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 WASHINGTON ST, TAUNTON, MA 02780-2582
(508) 615-6628
Mailing address
135 WASHINGTON ST, TAUNTON, MA 02780-2582
(508) 615-6628
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1683
MA
Other
Enumeration date
06/25/2013
Last updated
03/20/2019
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