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1356866768
DWIGHT A POLK
ELLICOTT CITY, MD
NPI
1356866768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 18559)
Enumeration Date
2017-08-07
Last Update Date
2017-08-07
Business Address
Mr. DWIGHT A POLK LCSW-C
5058 DORSEY HALL DR STE 103
ELLICOTT CITY, MD 21042-7850
Phone number: 410-242-5504
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Mailing Address
Mr. DWIGHT A POLK LCSW-C
730 WARWICK RD
BALTIMORE, MD 21229-4708
Phone number:
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