Individual
MARTHA JEAN PALAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 ROSE DR, COLUMBIA, MO 65202-3223
(573) 447-0263
Mailing address
2205 ROSE DR, COLUMBIA, MO 65202-3223
(573) 447-0263
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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