Individual
DAVID A POLENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
724 HIGH ROCK RD N, HANOVER, PA 17331-6863
(717) 969-5217
Mailing address
445 HAMILTON AVE # OEC73, WHITE PLAINS, NY 10601-1807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03571
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532201400
—
MD
05
—
615501400
—
MD
Enumeration date
12/28/2006
Last updated
09/23/2020
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