Individual
MRS. ANISIA PALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5480 W CAMPBELL AVE, PHOENIX, AZ 85031-1115
(623) 691-5119
Mailing address
5480 W CAMPBELL AVE, PHOENIX, AZ 85031-1115
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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