Individual
GLORIA POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1300 E LAFAYETTE ST APT 1904, DETROIT, MI 48207-2923
(313) 492-5544
Mailing address
1300 E LAFAYETTE ST APT 1904, DETROIT, MI 48207-2923
(313) 492-5544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001017
MI
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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