About Malissa Ann Costanzo
She is located at 844 8th Ave Se, , in Forest Lake, MN 55025. Appointment can be made via the phone number (651) 272-5608.
Malissa Ann Costanzo - Address, Phone & Website
844 8th Ave Se, , Forest Lake, MN 55025
(651) 272-5608
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
| No | Foster Care Agency | 253J00000X |
Licenses
| State | License Number |
|---|---|
| Minnesota | 1094965-1-HCBS |