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1700199015
ANN P COSTELLO
PORTLAND, ME
NPI
1700199015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC9494)
Enumeration Date
2010-07-16
Last Update Date
2010-07-16
Business Address
-- ANN P COSTELLO LCSW
25 MIDDLE ST
PORTLAND, ME 04101-4869
Phone number: 207-653-7200
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Mailing Address
-- ANN P COSTELLO LCSW
202 MAINE AVE
PORTLAND, ME 04103-3906
Phone number: 207-653-7200
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