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Individual

ANTOINE L. AGNEW

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LSCSW

Contact information

Practice address
560 N EXPOSITION ST, WICHITA, KS 67203-5957
(316) 264-8317
(316) 264-0347
Mailing address
560 N EXPOSITION ST, WICHITA, KS 67203-5957
(316) 264-8317
(316) 264-0347

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2501
KS

Other

Enumeration date
06/17/2006
Last updated
07/08/2007
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