Individual
JERI PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 HODGES ST, LAKE CHARLES, LA 70601-7366
(337) 491-6132
Mailing address
2706 HODGES ST, LAKE CHARLES, LA 70601-7366
(337) 491-6132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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