MR. Scott L Costello, MSW LCSW

NPI #1326151382 in Frankfort, Illinois

Provider Information

NPI Number
1326151382
Entity Type
Individual
Name
MR. Scott L Costello, MSW LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW LCSW
Enumeration Date
Aug 16, 2006
Last Updated
Sep 13, 2011

Practice Location

Address
20855 S LAGRANGE RD STE 202
ZIP Code
60423-2042
Phone
(815) 806-9300

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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