MRS. Jeanice L Polwort, M.ED, LPC

NPI #1619133790 in Enid, Oklahoma

Provider Information

NPI Number: 1619133790
Entity Type: Individual
Name: MRS. Jeanice L Polwort, M.ED, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: M.ED, LPC
Enumeration Date: Jul 29, 2008
Last Updated: Sep 20, 2010

Practice Location

Address: 2112 E MAPLE AVE
City: Enid
State: Oklahoma
ZIP Code: 73701-4612
Phone: (580) 747-2289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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