ELLEN TERESA COSTILLA

ALBUQUERQUE, NM
NPI1871538017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  I-04603)
Enumeration Date2006-06-20
Last Update Date2009-07-07
Business Address
Ms. ELLEN TERESA COSTILLA LISW
2741 INDIAN SCHOOL RD NE
ALBUQUERQUE, NM 87106-2653
Phone number: 505-255-8682
Mailing Address
Ms. ELLEN TERESA COSTILLA LISW
580 CARMEL RD
BELEN, NM 87002-9200
Phone number: 505-764-6409
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