Individual
LORI POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 S. COLUMBIA ST., BOGALUSA, LA 70427
(985) 735-1750
Mailing address
1640 S. COLUMBIA ST., BOGALUSA, LA 70427
(985) 735-1750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9336
LA
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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