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NPI Code Detail

MEDICARE: EVA J PALMA LCSW

MEDICARE:   EVA J PALMA  LCSW
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
1101YM0800XMental Health Counselor44SC06105400NJ

General Provider Information

NPI Number : 1740552769
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA J PALMA LCSW
Provider Business Mailing Address
First Line : 79 FARRAGUT PL
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07062-2319
Country : US
Telephone Number : 908-499-4054
Fax Number :
Provider Business Practice Location Address
First Line : 79 FARRAGUT PL
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07062-2319
Country : US
Telephone Number : 908-499-4054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2012
Last Update Date : 09/17/2024

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Directions to “ EVA J PALMA LCSW” Practice Location

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