Individual
CARRIE A COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 GERRIOR DR, NOTTINGHAM, NH 03290-5905
(978) 804-2657
Mailing address
5 GERRIOR DR, NOTTINGHAM, NH 03290-5905
(978) 804-2657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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