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1861766503
STEPHANIE J COSTELLO
ROLLA, MO
NPI
1861766503
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Former Name
STEPHANIE J KOXLIEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MO 2011039354)
Enumeration Date
2012-02-27
Last Update Date
2019-09-26
Business Address
STEPHANIE J COSTELLO LPC
1450 E 10TH ST
ROLLA, MO 65401-3648
Phone number: 888-403-1071
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Mailing Address
STEPHANIE J COSTELLO LPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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