Individual
MIRANDA KATHLEEN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 392-0190
Mailing address
7519 E LOCUST LN, NAMPA, ID 83687-8823
(208) 392-0190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-39593
ID
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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