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Individual

MRS. LISA ROSE PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
110 RICHIE LN, SUITE C, SOMERSET, KY 42503-6128
(606) 875-1130
(606) 678-0603
Mailing address
PO BOX 744, SOMERSET, KY 42502-0744
(606) 875-1130
(606) 678-0603

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0859
KY
1041C0700X
Clinical Social Worker
Primary
1238
KY

Other

Enumeration date
07/10/2006
Last updated
09/20/2010
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