Individual
MR. PEDRO PALOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.,L.C.S.W
Contact information
Practice address
18242 COUNTY ROAD 409, BLOOMFIELD, MO 63825-8398
(573) 568-3391
Mailing address
18242 COUNTY ROAD 409, BLOOMFIELD, MO 63825-8398
(573) 568-3391
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2004000349
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498734516
—
MO
Enumeration date
06/13/2005
Last updated
05/22/2008
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