Individual
MR. GEORGE THOMAS PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. C. S. W.
Contact information
Practice address
535 ALTURAS DR N, TWIN FALLS, ID 83301-4332
(208) 420-5347
Mailing address
535 ALTURAS DR N, TWIN FALLS, ID 83301-4332
(208) 420-5347
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-273
ID
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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