Individual
MS. KAITLIN ANNA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
179 PALISADE AVE, JERSEY CITY, NJ 07306-1103
(201) 795-8200
Mailing address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06924400
NJ
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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