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Individual
MR. TREY J POLESKY
Active
Individual
MR. TREY J POLESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150012634
IL
1041C0700X
Clinical Social Worker
11031
SC
1041C0700X
Clinical Social Worker
149015330
IL
1041C0700X
Clinical Social Worker
Primary
66343
CA
Other
Enumeration date
08/11/2010
Last updated
09/17/2018
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