Individual
YAMINAH POLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
371 MORRIS AVE, ELIZABETH, NJ 07208-3616
(908) 737-0921
Mailing address
324 PALISADE RD, ELIZABETH, NJ 07208-1424
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05645800
NJ
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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