Most Relevant Information
Provider Data
| NPI Number: | 1003001496 |
| Provider Name: | LUIS SOSTRE MSW, CAGS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2007 |
| Last Updated: | 12/14/2016 |
Provider Practice Location
511 E COLUMBUS AVE
SPRINGFIELD
MA
011052506
Practice Location Phone/Fax
| Phone: | 4138278959 |
| Fax: |
Provider Mailing Location
511 E COLUMBUS AVE
SPRINGFIELD
MA
011052506
Provider Mailing Phone/Fax
| Phone: | 4138278959 |
| Fax: |