KIM K COSTELLO

JACKSON, MS
NPI1306926233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MS  SO780)
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
Mrs. KIM K COSTELLO M.S., CCC-SLP
4500 I-55 NORTH SUITE 291, HIGHLAND VILLAGE
JACKSON, MS 39211
Phone number: 601-362-0859
Mailing Address
Mrs. KIM K COSTELLO M.S., CCC-SLP
1006 CANTERBURY PL E
BRANDON, MS 39042-8105
Phone number: 601-825-5678
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