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1659699676
STEPHANIE COSTELLO
PORTLAND, OR
NPI
1659699676
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Former Name
STEPHANIE ANDERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-05-14
Last Update Date
2016-06-13
Business Address
Mrs. STEPHANIE COSTELLO MSW
430 NE 160TH AVE APT 29
PORTLAND, OR 97230-5496
Phone number: 509-768-7311
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Mailing Address
Mrs. STEPHANIE COSTELLO MSW
430 NE 160TH AVE APT 29
PORTLAND, OR 97230-5496
Phone number: 509-768-7311
Copy
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