Individual
MS. IDA MCNEAR PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
501 GLOUCESTER ST STE 207, BRUNSWICK, GA 31520-7002
(912) 506-6910
Mailing address
2808 SPRINGDALE RD, BRUNSWICK, GA 31520-4836
(912) 506-6910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1415
GA
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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