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Individual
MR. KENNETH PALMISANO
Active
Individual
MR. KENNETH PALMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,LCADC,CCS,CPRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00106300
NJ
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/01/2013
Last updated
05/28/2024
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