THOMAS COSTELLO

WAKE FOREST, NC
NPI1679702427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  C004756)
Enumeration Date2009-07-14
Last Update Date2020-02-13
Business Address
Mr. THOMAS COSTELLO LCSW
335 S WHITE ST
WAKE FOREST, NC 27587-2916
Phone number: 984-389-0566
Mailing Address
Mr. THOMAS COSTELLO LCSW
PO BOX 24
WAKE FOREST, NC 27588-0024
Phone number: 984-389-0566
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