Agnes Osterholt-Polston, MSW,LCSWS

NPI 1255346011 · on the registry since 2006 · sole proprietor

Practice

Address: 4235 Flagstaff Cove
Fort Wayne, IN 46815
Phone: (260) 969-6600
Fax: (260) 969-6601
Organisation at this address: Bridges Emotional Wellness Clinic, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana