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Individual
MRS. TAMMY LYNN PALACIO
Active
Individual
MRS. TAMMY LYNN PALACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
17178
MD
1041C0700X
Clinical Social Worker
Primary
17178
MD
1041S0200X
School Social Worker
17178
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235026200
—
MD
Enumeration date
09/16/2016
Last updated
03/16/2021
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