BREONNA LEE POLK

SLIDELL, LA
NPI1467825687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2015-11-10
Last Update Date2023-10-13
Business Address
BREONNA LEE POLK
106 SMART PL STE B
SLIDELL, LA 70458
Phone number: 504-241-6006
Mailing Address
BREONNA LEE POLK
416 JOSEPH ST APT 5
SLIDELL, LA 70458-8570
Phone number: 985-259-9948
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