CARISSA ANN COSTELLO

EAST MEADOW, NY
NPI1205178167
Former NameCARISSA ANN SLOKOVITZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  005335-1)
Enumeration Date2013-03-19
Last Update Date2013-05-08
Business Address
Mrs. CARISSA ANN COSTELLO LMHC
100 CARMAN AVE
EAST MEADOW, NY 11554-1160
Phone number: 516-572-3953
Mailing Address
Mrs. CARISSA ANN COSTELLO LMHC
100 CARMAN AVE
EAST MEADOW, NY 11554-1160
Phone number: 516-572-3953
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