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1891331732
JOHN R COSTELLO
POUGHKEEPSIE, NY
NPI
1891331732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-26
Last Update Date
2019-11-26
Business Address
JOHN R COSTELLO CASAC-T
41 PAGE PARK DR
POUGHKEEPSIE, NY 12603-7500
Phone number: 845-486-2950
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Mailing Address
JOHN R COSTELLO CASAC-T
41 PAGE PARK DR
POUGHKEEPSIE, NY 12603-7500
Phone number: 845-486-2950
Copy
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