Individual
CAROLYN POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5 SUGAR CREEK RD, PIEDMONT, MO 63957-9612
(573) 223-7649
Mailing address
5 SUGAR CREEK RD, PIEDMONT, MO 63957-9612
(573) 223-7649
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013002023
MO
Other
Enumeration date
02/06/2016
Last updated
03/20/2026
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