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Individual

ALICIA PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC 1

Contact information

Practice address
16420 SE DIVISION ST, PORTLAND, OR 97236-1987
(503) 762-3100
(503) 762-3199
Mailing address
2500 MAITLAND CENTER PKWY, MAITLAND, FL 32751-7224
(407) 351-7080

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190528
OR

Other

Enumeration date
01/24/2020
Last updated
01/24/2020
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