Individual
MICHAEL B PALOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
300 FLYNN AVE, BURLINGTON, VT 05401-5301
(802) 488-6300
Mailing address
208 FLYNN AVE, SUITE 3J, BURLINGTON, VT 05401-5429
(802) 488-6900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000056
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007285
—
VT
Enumeration date
07/01/2006
Last updated
10/04/2011
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