Polavieja, Lara

Polavieja, Lara is an sole proprietor health care provider with primary practice located at 13300 Division Suite B7, Plainfield IL 60585. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Polavieja, Lara can be contacted via phone (815) 577-3666.

Contact Information

Primary practice address
13300 Division Suite B7 Plainfield IL 60585
Phone: (815) 577-3666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / School 1041S0200X Illinois

Profile Details

NPI number 1801938253
LBN Legal business name Polavieja, Lara
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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