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Individual
SHIRLEY ANN PAYNE
Active
Individual
SHIRLEY ANN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3045
OK
101YP2500X
Professional Counselor
3045
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744410A
—
OK
Enumeration date
12/30/2008
Last updated
06/21/2011
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