Individual
DAVID MURPHY COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 EASTERN AVE, DEDHAM, MA 02026-4582
(617) 996-1210
Mailing address
95 EASTERN AVE, DEDHAM, MA 02026-4582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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