Individual
AMANDA DAY POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
607 LAWSON RD, LEESVILLE, SC 29070-7589
(803) 727-6013
Mailing address
607 LAWSON RD, LEESVILLE, SC 29070-7589
(803) 727-6013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12039
SC
104100000X
Social Worker
12039
SC
Other
Enumeration date
05/10/2017
Last updated
07/24/2023
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