Individual
MRS. KRISTIN SWANSON POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
4120 FOUR LAKES AVE, LINDEN, MI 48451-9445
(810) 629-9334
Mailing address
4120 FOUR LAKES AVE, LINDEN, MI 48451-9445
(810) 629-9334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09142027
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09142027
COMMERCIAL INSURANCE
MI
Enumeration date
06/17/2008
Last updated
06/17/2008
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