Organization
TWO OTTERS COUNSELING CENTER, LLC
Active
Organization
TWO OTTERS COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SKYE V PAYNE PHD (LICENSED PSYCHOLOGIST)
(218) 387-9133
Entity
Organization
Contact information
Practice address
101 W HIGHWAY 61, #60, GRAND MARAIS, MN 55604-2333
(218) 387-9133
(218) 387-9197
Mailing address
101 W HIGHWAY 61, #60, GRAND MARAIS, MN 55604-2333
(218) 387-9133
(218) 387-9197
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2413
MN
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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