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1093969743
IRENE MARIE COSTELLO
JOLIET, IL
NPI
1093969743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242001067)
Enumeration Date
2008-11-07
Last Update Date
2008-11-07
Business Address
-- IRENE MARIE COSTELLO
2423 GLENWOOD AVE
JOLIET, IL 60435-5483
Phone number: 815-725-9992
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Mailing Address
-- IRENE MARIE COSTELLO
2423 GLENWOOD AVE
JOLIET, IL 60435-5483
Phone number: 815-725-9992
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