Individual
CAROL POLZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 5TH ST, GAYLORD, MN 55334-4478
(507) 235-6070
(507) 235-6074
Mailing address
112 5TH ST, GAYLORD, MN 55334-4478
(507) 235-6070
(507) 235-6074
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00969
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285021667
—
MN
Enumeration date
04/23/2015
Last updated
05/10/2017
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