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1326212143
MARY ANNE LISA COSTERELLA
GLASTONBURY, CT
NPI
1326212143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CT #000527)
Enumeration Date
2008-04-14
Last Update Date
2024-04-08
Business Address
Ms. MARY ANNE LISA COSTERELLA M.A., LADC
110 NATIONAL DR
GLASTONBURY, CT 06033-4371
Phone number: 860-657-8910
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Mailing Address
Ms. MARY ANNE LISA COSTERELLA M.A., LADC
110 NATIONAL DR
GLASTONBURY, CT 06033-4371
Phone number: 860-657-8910
Copy
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