Individual
MS. GLADYS PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(301) 278-1194
Mailing address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(301) 278-1194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC8884
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326189036
—
MD
Enumeration date
10/12/2017
Last updated
09/23/2024
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