Individual
TIMOTHY CRAIG PAYNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4034 MICHIGAN AVE APT B, CHARLESTON, SC 29404-5518
(843) 804-0912
Mailing address
4034 MICHIGAN AVE APT B, CHARLESTON, SC 29404-5518
(843) 804-0912
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13778
SC
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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