Individual
CHARLENE S. POLIQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
310 BARNSTABLE RD, HYANNIS, MA 02601-2902
(617) 847-1950
(617) 774-1490
Mailing address
310 BARNSTABLE RD, HYANNIS, MA 02601-2902
(617) 847-1950
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
313361
MA
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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