Individual
JOHN JOSEPH COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
57 LITTLE BEAR HILL RD, NEW MILFORD, CT 06776-5225
(707) 738-0298
Mailing address
57 LITTLE BEAR HILL RD, NEW MILFORD, CT 06776-5225
(707) 738-0298
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
096713
NY
1041C0700X
Clinical Social Worker
Primary
14502
CT
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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