Individual
CHRISTINE L POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 541-8200
(731) 541-8242
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 512-1571
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5742
TN
Other
Enumeration date
05/24/2010
Last updated
05/23/2013
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