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Individual

MRS. GISELE POLANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
544 ELMWOOD AVE, PROVIDENCE, RI 02907-1820
(401) 781-2727
(401) 781-2828
Mailing address
544 ELMWOOD AVE, PROVIDENCE, RI 02907-1820
(401) 781-2727
(401) 781-2828

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RI

Other

Enumeration date
06/09/2009
Last updated
05/16/2014
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