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1528810736
JACQUELINE COSTELLO
WARREN, OH
NPI
1528810736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.187854)
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
JACQUELINE COSTELLO
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number: 330-369-8022
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Mailing Address
JACQUELINE COSTELLO
2737 YOUNGSTOWN RD SE
WARREN, OH 44484-5002
Phone number:
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