Individual
ESTELL PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-0342
Mailing address
PO BOX 88, BRANDON, MS 39043-0088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/02/2022
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