Individual
AGNES CECILIA OSTERHOLT-POLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSWS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002679A
IN
Other
Enumeration date
07/30/2006
Last updated
07/31/2014
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