Individual
AMANDA PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 BOSTON ST, SALEM, MA 01970-1402
(780) 706-8032
Mailing address
110 BOSTON ST, SALEM, MA 01970-1402
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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