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Individual
NICHOLAS F POLK
Active
Individual
NICHOLAS F POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROFESSIONAL CLINICA
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
C-11413
NM
1041C0700X
Clinical Social Worker
P010980
NC
1041C0700X
Clinical Social Worker
X-11319
NM
Other
Enumeration date
06/20/2018
Last updated
08/04/2025
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