Susanne M Costello
Psychiatric at Wide Open Trl, Prescott Valley, AZ

License number
Colorado 5958
Issued Date
Nov 14, 1998
Renew Date
Mar 14, 2012
Expiration Date
Aug 31, 2013
Type
Registered Psychotherapist
Address
Address
1081 N Wide Open Trl, Prescott Valley, AZ 86314
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.

Personal information

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Name
Address
Phone
Susanne Costello, age 57
1081 N Wide Open Trl, Prescott Valley, AZ 86314

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