Individual
MARLENE ROSALINA AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 DUKE ST, INDIANAPOLIS, IN 46205-2238
(317) 675-0401
Mailing address
2054 COLDWATER CT, INDIANAPOLIS, IN 46239-8702
(317) 675-0401
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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