Individual
MS. EBONY B. PAYNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
24755 5 MILE RD STE 207, REDFORD, MI 48239-3664
(248) 837-5877
Mailing address
10327 MICHAEL ST, TAYLOR, MI 48180-3210
(248) 837-5877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092438
MI
1041C0700X
Clinical Social Worker
6801092438
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8845650
—
MI
Enumeration date
06/14/2011
Last updated
04/28/2021
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