Individual
JENNIFER GERALDINE PORRAS PALACIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 GALLATIN PIKE N, MADISON, TN 37115-2866
(615) 460-4300
Mailing address
620 GALLATIN PIKE N, MADISON, TN 37115-2866
(615) 460-4300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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