TEGAN POLHAMUS, LICSW

Social Worker

Active Individual
NPI: 1063709806

Practice Address

3 BLACKBURN CENTER
Gloucester, MA 01930

Phone: (978) 283-7793

Specialties

Specialty Code Primary License
Social Worker 104100000X Yes 120986 (MA)

Frequently Asked Questions

NPI 1063709806 is the National Provider Identifier for TEGAN POLHAMUS, LICSW, a Social Worker provider located in Gloucester, MA. This NPI was enumerated on June 30, 2011.
TEGAN POLHAMUS, LICSW practices at 3 BLACKBURN CENTER, Gloucester, MA 01930.

Quick Facts

NPI
1063709806
Type
Individual
Enumerated
Jun 30, 2011
Last Updated
Jan 30, 2018

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