Indiana
Professional Licensing Agency
Rita Irene Polivick
Clinical Social Worker
License number
34003316A
Date granted
03/08/1995
Date expires
04/01/2016
Class
Clinical Social Worker
Status
Active
Address
Fort Wayne IN 46807
indianalicensing.org
ID 1877580
LAST UPDATED 2026-03-16 10:43:48 UTC
LAST UPDATED 2026-03-16 10:43:48 UTC
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