Individual
MADELYN POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 S FRONTAGE RD, VICKSBURG, MS 39180-5271
(601) 852-3271
Mailing address
2222 S FRONTAGE RD, VICKSBURG, MS 39180-5271
(601) 852-3271
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5534
MS
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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