Individual
CRYSTAL L PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2190 GRANT AVE, MCDONOUGH, GA 30252-7699
(404) 834-7939
Mailing address
2190 GRANT AVE, MCDONOUGH, GA 30252-7699
(404) 834-7939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007335
GA
390200000X
Student in an Organized Health Care Education/Training Program
MSW008041
GA
Other
Enumeration date
10/11/2017
Last updated
04/14/2022
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