Individual
CHRISTINA POLIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW.
Contact information
Practice address
277 NE CONIFER BLVD UNIT 46, CORVALLIS, OR 97330-4141
(908) 256-5574
Mailing address
277 NE CONIFER BLVD UNIT 46, CORVALLIS, OR 97330-4141
(908) 256-5574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04780400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC04780400
LICENSE
NJ
01
—
CSW09925607
LICENSE
CO
Enumeration date
04/08/2019
Last updated
04/08/2019
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