ANN P COSTELLO

PORTLAND, ME
NPI1700199015
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ME  LC9494)
Enumeration Date2010-07-16
Last Update Date2010-07-16
Business Address
-- ANN P COSTELLO LCSW
25 MIDDLE ST
PORTLAND, ME 04101-4869
Phone number: 207-653-7200
Mailing Address
-- ANN P COSTELLO LCSW
202 MAINE AVE
PORTLAND, ME 04103-3906
Phone number: 207-653-7200