Individual
NIKIDA ELAINE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1302 JUDY ST., LAKE CHARLES, LA 70607
(337) 502-8980
Mailing address
PO BOX 6553, LAKE CHARLES, LA 70606-6553
(337) 502-8980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10132
LA
1041C0700X
Clinical Social Worker
64650
TX
Other
Enumeration date
06/08/2016
Last updated
06/02/2022
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