Individual
MR. EDWARD L. ACOSTA
Active
Individual
MR. EDWARD L. ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007027436
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1847
LICENSED MENTAL HEALTH PR
NE
01
—
189
CERTIFIED MASTER SOCIAL W
NE
01
—
2007027436
LICENSED CLINICAL SOCIAL
MO
01
—
6834
LICENSED MASTERS IN SOCIA
KS
Enumeration date
11/08/2007
Last updated
11/08/2007
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