Mallory Polivka, MA, R-DMT
Mallory Polivka, MA, R-DMT is a Student in an Organized Health Care Education/Training Program in Duluth, Minnesota. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- MA — Master of Arts
- A graduate arts degree.
Practice location Address checks out
101 W 2nd StDuluth, MN 55802
Phone: (218) 724-3122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1821514563 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , R-DMT |
| Sole proprietor | No |
| NPI enumerated | August 15, 2017 |
| Last updated in NPPES | August 20, 2018 |
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