Individual
CONNIE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
540 US HIGHWAY 22, BRIDGEWATER, NJ 08807-2405
(908) 722-1881
Mailing address
319 MAPLE ST, ATTN AVAZQUEZ, PERTH AMBOY, NJ 08861-4101
(732) 324-8200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL04618500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256145
MHN #
NJ
Enumeration date
04/24/2007
Last updated
07/08/2007
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