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Individual

MR. CHANCE D PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCDC

Contact information

Practice address
105 BUTTERNUT CT, WEATHERFORD, TX 76088-7233
(817) 566-4783
(817) 977-8316
Mailing address
105 BUTTERNUT CT, WEATHERFORD, TX 76088-7233
(817) 566-4783
(817) 977-8316

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13609
TX

Other

Enumeration date
10/10/2017
Last updated
10/10/2017
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