Individual
MARY POLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
416 SOUTHFORK RD, GLASGOW, KY 42141-7603
(270) 646-5928
Mailing address
PO BOX 72, GLASGOW, KY 42142-0072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1200
KY
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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