MRS. Polly Kowalka, LBSW

NPI #1528453289 in Grand Rapids, Michigan

Provider Information

NPI Number: 1528453289
Entity Type: Individual
Name: MRS. Polly Kowalka, LBSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LBSW
Enumeration Date: Mar 31, 2015
Last Updated: Mar 31, 2015

Practice Location

Address: 4255 KALAMAZOO AVE SE
City: Grand Rapids
State: Michigan
ZIP Code: 49508-3638
Phone: (616) 455-0960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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