|Active||Over 9 years ago|
CALIFORNIA STATE PRISON SACRAMENTO
REPRESA CA, 95670, US
|PO BOX 290010
REPRESA CA, 95671-0010, US
|Remove 1316113525 NPI Number|
According to our database, Ms. Jamie Costello Kenwood LCSW NPI is 1316113525, taxonomy code is 1041C0700X and license number is 23573, license state is located at California. Jamie Costello Kenwood LCSW physically located at Prison Rd, Represa CA, 95670. NPI Number Jamie Costello Kenwood LCSW has the Individual type.
1316113525 NPI number is provided on an as is basis without warranty of any kind. 1316113525 is maintained by the National Plan & Provider Enumeration System. The contents of Jamie Costello Kenwood LCSW are for informational purposes only.