STEPHANIE J COSTELLO

ROLLA, MO
NPI1861766503
Former NameSTEPHANIE J KOXLIEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: MO  2011039354)
Enumeration Date2012-02-27
Last Update Date2019-09-26
Business Address
STEPHANIE J COSTELLO LPC
1450 E 10TH ST
ROLLA, MO 65401-3648
Phone number: 888-403-1071
Mailing Address
STEPHANIE J COSTELLO LPC
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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