Individual
MELCHICEDEC PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, ACSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
101815
CA
225700000X
Massage Therapist
Primary
69971
CA
Other
Enumeration date
03/15/2017
Last updated
05/11/2023
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