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1023723210
KELLY MAE SMITH COSTELLO
WENATCHEE, WA
NPI
1023723210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
KELLY MAE SMITH COSTELLO
1230 MONITOR ST
WENATCHEE, WA 98801-3534
Phone number: 509-300-1221
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Mailing Address
KELLY MAE SMITH COSTELLO
1230 MONITOR ST
WENATCHEE, WA 98801-3534
Phone number: 509-300-1221
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