Individual
MRS. LATORIE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Mailing address
2380 HENRY ST, DYERSBURG, TN 38024-1847
(731) 287-1794
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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