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1255346011
AGNES CECILIA OSTERHOLT-POLSTON
FORT WAYNE, IN
NPI
1255346011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34002679a)
Enumeration Date
2006-07-30
Last Update Date
2014-07-31
Business Address
-- AGNES CECILIA OSTERHOLT-POLSTON msw,lcsws
4235 FLAGSTAFF COVE
FORT WAYNE, IN 46815
Phone number: 260-969-6600
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Mailing Address
-- AGNES CECILIA OSTERHOLT-POLSTON msw,lcsws
4235 FLAGSTAFF COVE
FORT WAYNE, IN 46815
Phone number: 260-969-6600
Copy
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