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1104075746
JENNIFER A COSTELLO
MORRIS PLAINS, NJ
NPI
1104075746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05285000)
Enumeration Date
2008-09-18
Last Update Date
2008-09-18
Business Address
Ms. JENNIFER A COSTELLO LCSW
329 MALAPARDIS RD
MORRIS PLAINS, NJ 07950-3261
Phone number: 201-213-2385
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Mailing Address
Ms. JENNIFER A COSTELLO LCSW
329 MALAPARDIS RD
MORRIS PLAINS, NJ 07950-3261
Phone number: 201-213-2385
Copy
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