Individual
MS. MARY ANNA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LMFT
Contact information
Practice address
2121 CLIFF DR STE 112, EAGAN, MN 55122-3335
(612) 920-3745
(612) 276-5740
Mailing address
2121 CLIFF DR STE 112, EAGAN, MN 55122-3335
(612) 920-3745
(612) 276-5740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4058
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053858200
—
MN
Enumeration date
12/14/2006
Last updated
01/21/2021
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