Individual
MRS. CATHY POLONCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
129 E. GERMAN ST., SHEPHERDSTOWN, WV 25443-1784
(304) 876-3022
Mailing address
PO BOX 1784, SHEPHERDSTOWN, WV 25443-1784
(304) 876-3022
(304) 876-1421
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
10681
MD
1041C0700X
Clinical Social Worker
Primary
DP00940860
WV
Other
Enumeration date
04/25/2007
Last updated
01/06/2012
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