Individual
ANTONIO PALOMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4730
(517) 788-4701
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801017914
MI
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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