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1346690112
MATTIE COSTILL
LEWES, DE
NPI
1346690112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: DE PC-0000714)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
MATTIE COSTILL LPCMH
17021 OLD ORCHARD RD
LEWES, DE 19958-4832
Phone number: 302-703-6332
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Mailing Address
MATTIE COSTILL LPCMH
782 HILL AVE
ASTON, PA 19014-1110
Phone number: 610-675-6380
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