Individual
DENISE MARIE POLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3000 MARKET ST NE, STE 414, SALEM, OR 97301-1896
(503) 375-0174
(503) 375-0175
Mailing address
3000 MARKET ST NE, STE 414, SALEM, OR 97301-1896
(503) 375-0174
(503) 375-0175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1650
OR
Other
Enumeration date
05/14/2006
Last updated
03/21/2016
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