JOHN M COSTELLO

WALTHAM, MA
NPI1962472720
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MA  2970)
Enumeration Date2006-01-25
Last Update Date2007-07-08
Business Address
-- JOHN M COSTELLO CCC-SLP
9 HOPE AVE
WALTHAM, MA 02453-2741
Phone number: 781-216-2220
Mailing Address
-- JOHN M COSTELLO CCC-SLP
51 CHILTON RD
WEST ROXBURY, MA 02132-1717
Phone number: 617-325-1319
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