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1295289486
LATORIE POLK
COVINGTON, TN
NPI
1295289486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TF0200X Psychologist, Forensic
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-08-05
Last Update Date
2016-08-05
Business Address
Mrs. LATORIE POLK
1997 HIGHWAY 51 S
COVINGTON, TN 38019-3630
Phone number: 901-476-8967
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Mailing Address
Mrs. LATORIE POLK
2380 HENRY ST
DYERSBURG, TN 38024-1847
Phone number: 731-287-1794
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