AGNES CECILIA OSTERHOLT-POLSTON

FORT WAYNE, IN
NPI1255346011
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002679a)
Enumeration Date2006-07-30
Last Update Date2014-07-31
Business Address
-- AGNES CECILIA OSTERHOLT-POLSTON msw,lcsws
4235 FLAGSTAFF COVE
FORT WAYNE, IN 46815
Phone number: 260-969-6600
Mailing Address
-- AGNES CECILIA OSTERHOLT-POLSTON msw,lcsws
4235 FLAGSTAFF COVE
FORT WAYNE, IN 46815
Phone number: 260-969-6600