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1053648485
JEANINE COSTLEY
BROOKLYN, NY
NPI
1053648485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 072117)
Enumeration Date
2009-11-05
Last Update Date
2009-11-05
Business Address
-- JEANINE COSTLEY LCSQ
300 FLATBUSH AVE
BROOKLYN, NY 11217-2812
Phone number: 718-622-2000
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Mailing Address
-- JEANINE COSTLEY LCSQ
280 PUTNAM AVE #2
BROOKLYN, NY 11216-6150
Phone number:
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