MICHELLE ALYSE COSTELLO

CHICAGO, IL
NPI1275007767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.020672)
Enumeration Date2019-01-17
Last Update Date2021-10-22
Business Address
MICHELLE ALYSE COSTELLO LCSW
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640-1670
Phone number: 312-476-9722
Mailing Address
MICHELLE ALYSE COSTELLO LCSW
615 HINMAN AVE APT 3D
EVANSTON, IL 60202-3047
Phone number: 312-593-3553
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