Individual
MS. AUDREY MARTINA POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMITED LIABILITY CO
Contact information
Practice address
23920 MIDDLEBELT RD APT 3205, FARMINGTON HILLS, MI 48336-2962
(248) 270-7051
Mailing address
23920 MIDDLEBELT RD APT 3205, FARMINGTON HILLS, MI 48336-2962
(248) 710-4027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451016714
MI
Other
Enumeration date
08/02/2018
Last updated
12/02/2024
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