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Individual
REALITEE PAYNE
Active
Individual
REALITEE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
05/11/2018
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