Individual
MRS. KATHLEEN A AGOSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
488 GLASSBORO RD, SUITE 204, WOODBURY HEIGHTS, NJ 08097-1400
(609) 895-7503
(856) 691-3014
Mailing address
488 GLASSBORO ROAD, SUITE 204, WOODBURY HEIGHTS, NJ 08097-1400
(609) 895-7503
(856) 691-3014
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00160400
NJ
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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