Individual
M. THERESA PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMFT
Contact information
Practice address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7619
Mailing address
1001 REYNOLDA RD, WINSTON SALEM, NC 27104-3245
(336) 721-7619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C003718
NC
106H00000X
Marriage & Family Therapist
Primary
868
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002584
—
NC
Enumeration date
04/02/2007
Last updated
09/11/2025
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