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Shawne Marie Costilla, LSW

Social Worker in Toledo, OH. Individual provider (NPI-1).

NPI number1124534839
StatusActive
Last updated in NPPESDec 18, 2017

Details

NPI
1124534839
Entity type
Individual (NPI-1)
Name
Shawne Marie Costilla
Credential
LSW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 18, 2017
Last updated
Dec 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social WorkerS.1601046OHYes

Practice location

3222 W Central Ave
Toledo, OH 43606-2929

Phone 567-316-7253

Mailing address

3222 W Central Ave
Toledo, OH 43606-2929

Phone 567-316-7253

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