Individual
ROMAN CHARLES POLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
11 SAINT ANDREWS DR, YERINGTON, NV 89447-9745
(775) 379-9514
Mailing address
11 SAINT ANDREWS DR, YERINGTON, NV 89447-9745
(775) 379-9514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11011-S
NV
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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