Individual
KELLY ANN PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
727 8TH ST, BARABOO, WI 53913-1794
(608) 402-3357
Mailing address
727 8TH ST, BARABOO, WI 53913-1794
(608) 402-3357
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9020-123
WI
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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