Individual
IVY PALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
58 EUCLID ST, WOODBURY, NJ 08096-4626
(856) 628-4504
Mailing address
58 EUCLID ST, WOODBURY, NJ 08096-4626
(856) 628-4504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05790100
NJ
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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