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1134344724
SUZANNE COSTALLOS
ELLSWORTH, ME
NPI
1134344724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC10650)
Enumeration Date
2007-04-17
Last Update Date
2013-08-13
Business Address
-- SUZANNE COSTALLOS LCSW
710 BUCKSPORT RD
ELLSWORTH, ME 04605-2722
Phone number: 207-667-6890
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Mailing Address
-- SUZANNE COSTALLOS LCSW
710 BUCKSPORT RD
ELLSWORTH, ME 04605-2722
Phone number: 207-667-6890
Copy
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