Individual
DARLENE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2433 SOTHMAN DR, GRAND ISLAND, NE 68801-7260
(308) 675-0682
Mailing address
2433 SOTHMAN DR, GRAND ISLAND, NE 68801-7260
(308) 675-0682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-358271
CO
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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