Individual
KELLY POLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
40 HUFF AVE, GREENSBURG, PA 15601-5318
(724) 396-1510
(724) 691-0476
Mailing address
101 PEMBROKE CT, GREENSBURG, PA 15601-6404
(724) 396-1510
(724) 691-0476
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000636
PA
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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