Individual
MR. STEPHEN JOHN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 MARQUETTE AVE, MINNEAPOLIS, MN 55403-2419
(612) 432-2163
Mailing address
4140 45TH AVE S, MINNEAPOLIS, MN 55406-3546
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
00060
MN
106H00000X
Marriage & Family Therapist
Primary
1751
MN
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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