The holder whose full name is Costello, Theresa,come from Columbus IN,hold the Psychologist - Health Service Provider license(NO.20042231A) which status is Active.
| Name | Costello, Theresa |
|---|---|
| License Number | 20042231A |
| License Type | Psychologist - Health Service Provider |
| License Status | Active |
| City | Columbus |
| State | IN |