Lisa S Polk MSW, LCSW

NPI 1174859086 - Social Worker - 1041C0700X

NPI Details
NPI 1174859086
Gender Female
Enumeration Date 10/28/2009
Last Updated 03/30/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
132 JOE KNOX AVE
SUITE 100
MOORESVILLE NC, 28117-9202, US
Phone (704) 230-7998
Fax (704) 230-1397
Business Location
136 MUSSELL LN
MOORESVILLE NC, 28117-3707, US
Phone (704) 230-7998
Fax (704) 660-4357
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C005872
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According to our database, Mrs. Lisa S Polk MSW, LCSW NPI is 1174859086, taxonomy code is 1041C0700X and license number is C005872, license state is located at North Carolina. Lisa S Polk MSW, LCSW physically located at 132 Joe Knox Ave, Mooresville NC, 28117-9202. NPI Number Lisa S Polk MSW, LCSW has the Individual type.

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1174859086 NPI number is provided on an as is basis without warranty of any kind. 1174859086 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa S Polk MSW, LCSW are for informational purposes only.