Individual
EARL PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4727 REVERE AVE, BATON ROUGE, LA 70808-3168
(225) 924-0123
Mailing address
4727 REVERE AVE, BATON ROUGE, LA 70808-3168
(225) 924-0123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2178
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184074000
—
LA
Enumeration date
02/20/2014
Last updated
02/20/2014
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