Individual
MR. BRYAN JAMES PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3957 CLEARY RD, CLINTON, NY 13323-4113
(315) 580-0449
Mailing address
3957 CLEARY RD, CLINTON, NY 13323-4113
(315) 580-0449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
080483
NY
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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