Individual
MS. REBECA A. PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4200 PERIMETER CENTER DR, SUITE #245, OKLAHOMA CITY, OK 73112-2324
(916) 335-7857
Mailing address
1301 N HUNTERS BRIDGE WAY, MUSTANG, OK 73064-7239
(916) 335-7857
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
24591
CA
1041C0700X
Clinical Social Worker
Primary
5802
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24591
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
01
—
5802
OKLAHOMA STATE BOARD OF LICENSED SOCIAL WORKERS
OK
Enumeration date
05/31/2007
Last updated
12/09/2016
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