Individual
MRS. DANA MARIE POLLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
62 CARTER ROAD, KENT, CT 06757-0607
(860) 927-3772
(860) 927-1840
Mailing address
PO BOX 607, KENT, CT 06757-0607
(860) 927-3772
(860) 927-1840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006625
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006625
LCSW
CT
Enumeration date
06/24/2019
Last updated
06/24/2019
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