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1194930057
PAUL MICHAEL COSTELLO
STATEN ISLAND, NY
NPI
1194930057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 036362-1)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Mr. PAUL MICHAEL COSTELLO LMSW
341 OAKLAND AVE
STATEN ISLAND, NY 10310-2130
Phone number: 917-584-2216
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Mailing Address
Mr. PAUL MICHAEL COSTELLO LMSW
341 OAKLAND AVE
STATEN ISLAND, NY 10310-2130
Phone number: 917-584-2216
Copy
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