Female

Polly Sams LICSW

Clinical Social Worker in Ellensburg, WA(View on Map)

Full Name

Polly Sams LICSW

NPI Number

1326710997

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/01/2021

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

LW00004356

Contact
Information

Purpose

Mailing
Location

Address

603 S CHESTNUT ST
100 E JACKSON AVE STE 301

City

Ellensburg
Ellensburg

State

WA
WA

Postal Code

98926-3875
98926-3692

Country

US
US

Telephone Number

(509) 962-9841
(509) 933-8777

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/01/2021

Provider Address

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