Individual
MS. CONNIE JEAN POLLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L,I.S.W.
Contact information
Practice address
4710 OLD TROY PIKE, DAYTON, OH 45424-5740
(937) 233-1230
(937) 236-8930
Mailing address
2197 KYLE LN, FAIRBORN, OH 45324-6418
(937) 236-8920
(937) 236-8930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0007011
OH
Other
Enumeration date
11/11/2005
Last updated
07/08/2007
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