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Individual

MARY MADDIE POLLOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD FAAA

Contact information

Practice address
245 W STATE HIGHWAY 114 STE 120, SOUTHLAKE, TX 76092-3637
(817) 591-7155
Mailing address
245 W STATE HIGHWAY 114 STE 120, SOUTHLAKE, TX 76092-3637
(817) 591-7155

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81274
TX
231H00000X
Audiologist
TX
237600000X
Audiologist-Hearing Aid Fitter
81274
TX

Other

Enumeration date
06/09/2020
Last updated
12/07/2022
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