Individual
BROOKE POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1912 SPARROWRIDGE CIR, HAUGHTON, LA 71037-7714
(501) 413-1393
Mailing address
1912 SPARROWRIDGE CIR, HAUGHTON, LA 71037-7714
(501) 413-1393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2164
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180245721
—
AR
Enumeration date
02/23/2010
Last updated
01/22/2015
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