MARVIN LOUIS POLSTRA

INDIANAPOLIS, IN
NPI1770131229
Other NameJOHN M POLSTRA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34002649A)
Enumeration Date2019-08-28
Last Update Date2019-08-28
Business Address
MARVIN LOUIS POLSTRA LCSW
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205-3718
Phone number: 317-920-5900
Mailing Address
MARVIN LOUIS POLSTRA LCSW
3505 WASHINGTON BLVD
INDIANAPOLIS, IN 46205-3718
Phone number: 317-920-5900