Individual
MS. CICELY DANIELLE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6710 TREVI CT, OKLAHOMA CITY, OK 73116-2604
(405) 209-8682
Mailing address
6710 TREVI CT, OKLAHOMA CITY, OK 73116-2604
(405) 209-8682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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