Individual
AVERY POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 N LINCOLN ST, DENVER, CO 80203-7301
(720) 423-3200
Mailing address
122 DARTEZE DR, LAFAYETTE, LA 70508-8111
(337) 541-8519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
24492689
CO
235Z00000X
Speech-Language Pathologist
8833
LA
Other
Enumeration date
01/20/2023
Last updated
12/13/2024
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