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NPI Code Detail

MEDICARE: KARRIE M PALMER LISW-S

MEDICARE: KARRIE M PALMER LISW-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker3137HI
2104100000XSocial WorkerI-0008161 SUPVOH

General Provider Information

NPI Number : 1255504650
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARRIE M PALMER LISW-S
Provider Business Mailing Address
First Line : 16628 BENNETT RD
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-6008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1865 N RIDGE RD E
Second Line :
City : LORAIN
State : OH
Zip : 44055-3300
Country : US
Telephone Number : 440-723-5501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2008
Last Update Date : 08/10/2022

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Directions to “ KARRIE M PALMER LISW-S” Practice Location

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