Individual
MRS. KIMBERLY POLONSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CSC, BC-TMH
Contact information
Practice address
3782 LOWER LEWIS RD, COLLEGEVILLE, PA 19426-3333
(484) 942-0055
Mailing address
3782 LOWER LEWIS RD, COLLEGEVILLE, PA 19426-3333
(484) 942-0055
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW123177
PA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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