Individual
MARY T POLENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 GALAXIE AVE, HARRISONVILLE, MO 64701-2084
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022047140
MO
1041C0700X
Clinical Social Worker
LSCSW1890
KS
Other
Enumeration date
01/22/2024
Last updated
10/27/2025
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