MS. Elizabether Gene Costello, BA

NPI #1376854919 in Lynn, Massachusetts

Provider Information

NPI Number: 1376854919
Entity Type: Individual
Name: MS. Elizabether Gene Costello, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Jun 29, 2010
Last Updated: Jun 29, 2010

Practice Location

Address: 95 PLEASANT ST
City: Lynn
State: Massachusetts
ZIP Code: 01901-1524
Phone: (781) 596-9222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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