Individual
ALESHIA PATRICE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
11120 SOMERSET AVE, PRINCESS ANNE, MD 21853-2970
(410) 651-4200
(410) 334-6362
Mailing address
2336 GODDARD PKWY, SALISBURY, MD 21801-1126
(410) 334-6961
(410) 334-6362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550004
—
MD
Enumeration date
08/19/2014
Last updated
08/19/2014
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