Individual
CANDICE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 CROWNPOINT EXECUTIVE DR UNIT J, CHARLOTTE, NC 28227-7824
(704) 619-7060
Mailing address
1407 WHITBY MOORE ST APT 302, CHARLOTTE, NC 28273-5878
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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