Individual
CHAD M COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939
(908) 647-0180
Mailing address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05811500
NJ
Other
Enumeration date
03/22/2016
Last updated
09/06/2018
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