Individual
MS. LORI ALYSE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
224 N FREDERICK ST, CAPE GIRARDEAU, MO 63701-5626
(573) 332-0121
Mailing address
10 N MIDDLE ST, APT 6, CAPE GIRARDEAU, MO 63701-5612
(573) 275-2448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
02744
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02744
SOCIAL WORK LICENSE NUMBER
IA
Enumeration date
03/05/2012
Last updated
03/05/2012
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