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Individual

MR. ADRIAN ANTHONY AGOSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
7656 JEFFERSON HWY, SUITE 1A, BATON ROUGE, LA 70809-1101
(225) 927-2455
Mailing address
7940 WRENWOOD BLVD APT G, BATON ROUGE, LA 70809-1766
(225) 923-1817

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4312
LA

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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