Whalio Doctors

NPI 1003824400

Natisha Polk, LMSW

Practitioner Social Worker Collins, MS

Practice location

Address
22 Westview Dr, Collins, MS 39428
Phone
(601) 765-4514
Fax
(601) 584-4053
Mailing address
PO Box 1364, Collins, MS 39428-1364

Registered specialties

Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence M5931 (MS)

Registry record

NPI
1003824400
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.