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1013408988
KATHLEEN M COSTELLO
SAINT ALBANS, VT
NPI
1013408988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VT 089.0000941)
Enumeration Date
2018-05-25
Last Update Date
2018-05-25
Business Address
KATHLEEN M COSTELLO LICSW
12 FAIRFIELD HILL RD
SAINT ALBANS, VT 05478-9634
Phone number: 802-524-1700
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Mailing Address
KATHLEEN M COSTELLO LICSW
30 AIRPORT RD
S BURLINGTON, VT 05403-6432
Phone number: 802-658-0040
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