Provider Information for 1629898481
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JASMINE O. PALMER LCSW
Sex: Female
NPI: 1629898481
Last Updated: 2024-10-15
Certification Date: 2024-10-15
Certification Date: 2024-10-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1629898481 | ||||||||
| Enumeration Date | 2024-10-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 630 W 246TH ST APT 234 BRONX, NY 10471-3632 United States Phone: 347-782-1253 | Fax: | ||||||||
| Primary Practice Address | 630 W 246TH ST APT 234 BRONX, NY 10471-3632 United States Phone: 347-782-1253 | Fax: | ||||||||
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