RITA IRENE POLIVICK

FORT WAYNE, IN
NPI1437387537
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  34003316A)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: FL  MH4219)
Enumeration Date2009-06-26
Last Update Date2009-06-26
Business Address
-- RITA IRENE POLIVICK M.S., LCSW,
3010 E STATE BLVD
FORT WAYNE, IN 46805-4700
Phone number: 260-471-2300
Mailing Address
-- RITA IRENE POLIVICK M.S., LCSW,
P.O. BOX 9532
FORT WAYNE, IN 46899-9532
Phone number: 260-437-1248