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1538252341
ELLEN M. COSTELLO
PROVIDENCE, RI
NPI
1538252341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: RI PS00412)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Dr. ELLEN M. COSTELLO PhD
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6416
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Mailing Address
Dr. ELLEN M. COSTELLO PhD
345 BLACKSTONE BLVD
PROVIDENCE, RI 02906-4800
Phone number: 401-455-6416
Copy
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