Individual
JERRI POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1799 STUMPF BLVD, TERRYTOWN, LA 70056-3950
(504) 309-8630
Mailing address
1799 STUMPF BLVD, TERRYTOWN, LA 70056-3950
(504) 309-8630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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