Individual
MR. DWIGHT A POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
5058 DORSEY HALL DR STE 103, ELLICOTT CITY, MD 21042-7850
(410) 242-5504
Mailing address
730 WARWICK RD, BALTIMORE, MD 21229-4708
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18559
MD
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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