Individual
CARMEL POLK POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4747 EARHART BLVD, NEW ORLEANS, LA 70125-1743
(504) 482-2600
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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