JOHANNA COSTELLO

PORTLAND, ME
NPI1700180361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ME  ST2024)
Enumeration Date2010-12-22
Last Update Date2010-12-22
Business Address
-- JOHANNA COSTELLO
197 PINE ST APT 24
PORTLAND, ME 04102-3533
Phone number: 516-319-3889
Mailing Address
-- JOHANNA COSTELLO
197 PINE ST APT 24
PORTLAND, ME 04102-3533
Phone number:
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