Kathleen M Costello, LICSW
NPI #1013408988 in Saint Albans, Vermont
Provider Information
- NPI Number
- 1013408988
- Entity Type
- Individual
- Name
- Kathleen M Costello, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 25, 2018
- Last Updated
- May 25, 2018
Practice Location
- Address
- 12 FAIRFIELD HILL RD
- City
- Saint Albans
- State
- Vermont
- ZIP Code
- 05478-9634
- Phone
- (802) 524-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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