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1972663052
STEPHANIE B COSTELLO
BEND, OR
NPI
1972663052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 5397)
Enumeration Date
2006-12-11
Last Update Date
2015-09-09
Business Address
Mrs. STEPHANIE B COSTELLO MSW, LCSW, CEAP
2755 NW CROSSING DR STE 210
BEND, OR 97703-7050
Phone number: 215-917-0032
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Mailing Address
Mrs. STEPHANIE B COSTELLO MSW, LCSW, CEAP
2755 NW CROSSING DR STE 210
BEND, OR 97703-7050
Phone number: 215-917-0032
Copy
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