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1225529159
JENICA POLAKOW
VENTURA, CA
NPI
1225529159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW79623)
Enumeration Date
2018-05-26
Last Update Date
2022-03-23
Business Address
JENICA POLAKOW LCSW
790 E SANTA CLARA ST STE 102
VENTURA, CA 93001-2967
Phone number: 805-830-8331
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Mailing Address
JENICA POLAKOW LCSW
934 BLUE MOUNTAIN CIR
WESTLAKE VILLAGE, CA 91362-5457
Phone number: 805-380-8331
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