Individual
CLARA SEREINA PAYNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2725 FRANKLIN TPKE STE A, DANVILLE, VA 24540-5365
(540) 875-6067
(434) 836-2226
Mailing address
PO BOX 13894, ROANOKE, VA 24038-3894
(540) 875-6067
(434) 836-2226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904004852
VA
1041C0700X
Clinical Social Worker
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945263
—
VA
Enumeration date
03/23/2007
Last updated
11/25/2019
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