Individual
MARY JOAN POLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 BURLEIGH ST, YANKTON, SD 57078-2418
(605) 260-9284
(605) 260-9284
Mailing address
1700 BURLEIGH ST, YANKTON, SD 57078-2418
(605) 260-9284
(605) 260-9284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC7157
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498349901
—
MO
Enumeration date
08/13/2014
Last updated
08/13/2014
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