KELLY ANNE COSTELLO

DULUTH, GA
NPI1679307193
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2024-08-27
Last Update Date2024-08-27
Business Address
KELLY ANNE COSTELLO
3390 N BERKELEY LAKE RD NW STE 100
DULUTH, GA 30096-3006
Phone number: 470-327-8336
Mailing Address
KELLY ANNE COSTELLO
511 AMBER STONE
WALESKA, GA 30183-4311
Phone number:
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