Most Relevant Information
Provider Data
| NPI Number: | 1003824400 |
| Provider Name: | NATISHA POLK LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | M5931 |
Most Important Dates
| Enumeration Date: | 08/03/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
22 WESTVIEW DR
COLLINS
MS
39428
Practice Location Phone/Fax
| Phone: | 6017654514 |
| Fax: | 6015844053 |
Provider Mailing Location
PO BOX 1364
COLLINS
MS
394281364
Provider Mailing Phone/Fax
| Phone: | 6017654514 |
| Fax: | 6015844053 |