Individual
MR. GREGORY ALFRED PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-AD/S, CAC II
Contact information
Practice address
21 INDUSTRIAL PARK DR STE 104D, WALDORF, MD 20602-2751
(310) 818-0030
Mailing address
21 INDUSTRIAL PARK DR STE 104D, WALDORF, MD 20602-2751
(310) 818-0030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC-1111
MD
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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