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1932543196
KIMBERLEY D. COSTELLO
BLOOMFIELD HILLS, MI
NPI
1932543196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-04-18
Last Update Date
2013-04-18
Business Address
Mrs. KIMBERLEY D. COSTELLO CADC-D
2626 COLBY DR
BLOOMFIELD HILLS, MI 48304-1610
Phone number: 248-821-2284
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Mailing Address
Mrs. KIMBERLEY D. COSTELLO CADC-D
2626 COLBY DR
BLOOMFIELD HILLS, MI 48304-1610
Phone number: 248-821-2284
Copy
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