Individual
JOHN RYAN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1044 NORTHWEST BLVD, COEUR D ALENE, ID 83814-2114
(208) 930-1740
Mailing address
3410 W RIDGE DR, POST FALLS, ID 83854-9367
(208) 966-7495
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-45237
ID
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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