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Individual

MS. MERCEDES LYNN POLK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MERCEDES

Contact information

Practice address
2621 ROYAL STREET, NORTH LAS VEGAS, NV 89030
(702) 601-4005
Mailing address
2621 ROYAL STREET, NORTH LAS VEGAS, NV 89030
(702) 601-4005

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NV
106S00000X
Behavior Technician
Primary
NV

Other

Enumeration date
02/12/2019
Last updated
02/12/2019
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