Individual
MS. LADONNA MARIE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC
Contact information
Practice address
13336 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
Mailing address
13336 EAST WARREN, DETROIT, MI 48215
(313) 822-6940
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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