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1952320434
MARY LOU COSTANZO
WEST HARTFORD, CT
NPI
1952320434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 000845)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Ms. MARY LOU COSTANZO LCSW
968 FARMINGTON AVE
WEST HARTFORD, CT 06107-2172
Phone number: 860-523-0288
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Mailing Address
Ms. MARY LOU COSTANZO LCSW
29 ELLSWORTH RD
WEST HARTFORD, CT 06107-2706
Phone number: 860-523-0288
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