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1043496938
HARVEY R POLK
NATCHITOCHES, LA
NPI
1043496938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA 1152)
Enumeration Date
2008-01-10
Last Update Date
2008-01-10
Business Address
HARVEY R POLK CAC
212 MEDICAL DR
NATCHITOCHES, LA 71457-6052
Phone number: 318-357-3283
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Mailing Address
HARVEY R POLK CAC
212 MEDICAL DR
NATCHITOCHES, LA 71457-6052
Phone number: 318-357-3283
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