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1174237275
GRACE MARIE COSTELLO
CORTEZ, CO
NPI
1174237275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 09928867)
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
GRACE MARIE COSTELLO LCSW
901 ARBOR ST
CORTEZ, CO 81321-2670
Phone number: 513-833-4330
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Mailing Address
GRACE MARIE COSTELLO LCSW
901 ARBOR ST
CORTEZ, CO 81321-2670
Phone number: 513-833-4330
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