EDWINA DENISE POLK

CHARLOTTE, NC
NPI1104486117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: NC  11379)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: NC  11379)
Enumeration Date2019-06-20
Last Update Date2019-06-20
Business Address
EDWINA DENISE POLK LPC
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262-6001
Phone number: 704-320-8766
Mailing Address
EDWINA DENISE POLK LPC
4514 AUSTIN DEKOTA DR
CHARLOTTE, NC 28269-2156
Phone number: 704-320-8766