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Ms. Audrey Martina Polk
Mental Health Counselor in Detroit, Michigan
NPI 1306324256

Audrey Martina Polk is a Mental Health Counselor based in Redford, MI and is specialized in Mental Health. Audrey Martina Polk practices in Detroit, MI. The NPI Number for Audrey Martina Polk is 1306324256 and holds a License No. 6401016714 (Michigan).

The current practice location address for Audrey Martina Polk is 2925 Russell St, Detroit, MI and can be reached out via phone at 313-396-5300.

Location: 2925 Russell St, Detroit, MI, 48239-1354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306324256
Provider Name
Audrey Martina Polk
Credential
Provider Entity Type
Individual
Gender
Female
Address
2925 Russell St, Detroit, MI, 48239-1354
Phone Number
313-396-5300
Fax Number
Provider Enumeration Date
08/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2925 Russell St
City
Detroit
State
Michigan
Zip
48207-4825
Phone Number
313-396-5300
Fax Number
person
Provider Business Mailing Address Details
Address
2925 Russell St
City
Detroit
State
Michigan
Zip
48207-4825
Phone Number
313-396-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401016714 (Michigan)
Definition
Definition to come...
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