Individual
GRACE CONCETTA POLISTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1814 N ST NW, WASHINGTON, DC 20036-2404
(877) 909-3676
Mailing address
1814 N ST NW, WASHINGTON, DC 20036-2404
(877) 909-3676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG200003279
DC
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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