NPI 1134344724

Suzanne Costallos, LCSW

Practitioner Clinical Social Worker Ellsworth, ME

Practice location

Address: 710 Bucksport Rd, Ellsworth, ME 04605-2722
Phone: (207) 667-6890
Fax: (207) 667-6457

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LC10650 (ME)

Other Social Worker providers in Maine →

Registry record

NPI: 1134344724
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2007
Record last updated: 13 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.