MRS. Cathy Polonchak, LICSW

NPI #1598984833 in Shepherdstown, West Virginia

Provider Information

NPI Number: 1598984833
Entity Type: Individual
Name: MRS. Cathy Polonchak, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Apr 25, 2007
Last Updated: Jan 6, 2012

Practice Location

Address: 129 E. GERMAN ST.
City: Shepherdstown
State: West Virginia
ZIP Code: 25443-1784
Phone: (304) 876-3022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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