Individual
ALYSIA DIANE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827-3209
(607) 689-8114
Mailing address
133 KENNEDY RD, BINGHAMTON, NY 13901-1124
(607) 201-5395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33383
NY
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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