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1639372204
MARY JOANNE COSTELLO
CHICAGO, IL
NPI
1639372204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-009666)
Enumeration Date
2007-06-08
Last Update Date
2018-12-05
Business Address
MARY JOANNE COSTELLO LCSW
5317 N CLARK ST FL 2
CHICAGO, IL 60640
Phone number: 773-506-1401
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Mailing Address
MARY JOANNE COSTELLO LCSW
5317 N CLARK ST FL 2
CHICAGO, IL 60640-2113
Phone number: 773-506-1401
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