Lissette M Agosto, MSW
Social Worker in New Haven, CT. Individual provider (NPI-1).
NPI number1912257221
StatusActive
Last updated in NPPESSep 13, 2012
Details
- NPI
- 1912257221
- Entity type
- Individual (NPI-1)
- Name
- Lissette M Agosto
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2012
- Last updated
- Sep 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
400 Columbus AveNew Haven, CT 06519-1233
Phone 203-503-3250 · Fax 203-503-3254
Mailing address
400 Columbus AveNew Haven, CT 06519-1233
Phone 203-503-3250 · Fax 203-503-3254
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