Individual
KATIE POLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4080 MCGINNIS FERRY RD STE 1304, ALPHARETTA, GA 30005-3951
(678) 740-3990
(844) 903-4670
Mailing address
7511 BILTMORE LN, DOUGLASVILLE, GA 30135-6463
(917) 287-3635
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
103181-1
NY
104100000X
Social Worker
Primary
MSW010062
GA
Other
Enumeration date
03/02/2020
Last updated
06/05/2021
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