Suzanne Costallos, LCSW

NPI #1134344724 in Ellsworth, Maine

Provider Information

NPI Number
1134344724
Entity Type
Individual
Name
Suzanne Costallos, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Apr 17, 2007
Last Updated
Aug 13, 2013

Practice Location

Address
710 BUCKSPORT RD
State
Maine
ZIP Code
04605-2722
Phone
(207) 667-6890

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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