MICHELLE A COSTELLO LCSW, PLLC

CHICAGO, IL
NPI1871256453
Entity TypeOrganization
Authorized ContactMICHELLE ALYSE COSTELLO
Registered Agent
312-593-3553
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2021-10-20
Last Update Date2021-10-22
Business Address
MICHELLE A COSTELLO LCSW, PLLC
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL 60640-1670
Phone number: 312-476-9722
Mailing Address
MICHELLE A COSTELLO LCSW, PLLC
615 HINMAN AVE APT 3D
EVANSTON, IL 60202-3047
Phone number: 312-593-3553
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