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1972965606
CHAD M COSTELLO
LYONS, NJ
NPI
1972965606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05811500)
Enumeration Date
2016-03-22
Last Update Date
2018-09-06
Business Address
CHAD M COSTELLO LCSW
151 KNOLLCROFT RD
LYONS, NJ 07939
Phone number: 908-647-0180
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Mailing Address
CHAD M COSTELLO LCSW
151 KNOLLCROFT RD
LYONS, NJ 07939-5001
Phone number: 908-647-0180
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