Vincent Thomas Costello JR., MSW, LISW

NPI #1215439302 in Fairfield, Ohio

Provider Information

NPI Number: 1215439302
Entity Type: Individual
Name: Vincent Thomas Costello JR., MSW, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW, LISW
Enumeration Date: Mar 5, 2018
Last Updated: Jun 17, 2019

Practice Location

Address: 1251 NILLES RD STE 5
City: Fairfield
State: Ohio
ZIP Code: 45014-7205
Phone: (513) 939-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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