Individual
ANSTISS AGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
30 W 86TH ST, NEW YORK, NY 10024-3644
(203) 912-5264
Mailing address
54 SAGAMORE RD, STAMFORD, CT 06902-8031
(203) 912-5264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R016255-01
NY
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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