Individual
JAMIE MICHELLE POLUBINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7825 N SOUND DR, SEDRO WOOLLEY, WA 98284-7675
(360) 632-1563
Mailing address
7825 N SOUND DR, SEDRO WOOLLEY, WA 98284-7675
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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