Individual
DEBRA POLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
106 THREE RIVERS N, FORT WAYNE, IN 46802-1312
(260) 426-5778
(260) 423-6412
Mailing address
106 THREE RIVERS N, FORT WAYNE, IN 46802-1312
(260) 426-5778
(260) 423-6412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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