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1306002241
TARA COSTELLO
CHERRY HILL, NJ
NPI
1306002241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-07-30
Last Update Date
2008-07-30
Business Address
-- TARA COSTELLO
499 COOPER LANDING RD
CHERRY HILL, NJ 08002-2504
Phone number: 856-482-8747
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Mailing Address
-- TARA COSTELLO
499 COOPER LANDING RD
CHERRY HILL, NJ 08002-2504
Phone number: 856-482-8747
Copy
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