Individual
CAROL PALMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2314 N GRANDVIEW BLVD, #309, WAUKESHA, WI 53188-1675
(262) 544-4540
Mailing address
2314 N GRANDVIEW BLVD, #309, WAUKESHA, WI 53188-1675
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7175-123
WI
106H00000X
Marriage & Family Therapist
681-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
681-124
STATE OF WISC LICENSE
WI
01
—
7175-123
STATE OF WISC LICENSE
WI
Enumeration date
09/20/2006
Last updated
03/22/2010
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