Individual
PHOEBE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
410 CAMPBELL AVE, WEST HAVEN, CT 06516-5014
(203) 444-4692
Mailing address
1917 WHITNEY AVE, NORTH HAVEN, CT 06473-4465
(203) 444-4692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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