Elizabeth Polo, BS, CSAC, CSIT

NPI 1215205612 · on the registry since 2011

Practice

Address: 1654 Washington Ave
Racine, WI 53403
Phone: (262) 633-5001
Fax: (262) 633-2928
Organisation at this address: Genesis Behavioral Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin