PATRICK COSTELLO

BOISE, ID
NPI1699788992
Other NameT PATRICK COSTELLO
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: ID  LCSW474)
Enumeration Date2006-08-15
Last Update Date2011-04-08
Business Address
MR. PATRICK COSTELLO MSW,LCSW
9911 ARABIAN DR
BOISE, ID 83709
Phone number: 208-870-6460
Mailing Address
MR. PATRICK COSTELLO MSW,LCSW
9911 ARABIAN DR
BOISE, ID 83709
Phone number: 208-362-5622
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