Individual
MS. GWENDOLYN MARIE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 325-9113
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 325-9113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
X-11733
NM
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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