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MR. ST.CLAIR C PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
592 ROCKAWAY AVE, BROOKLYN, NY 11212-5539
(718) 345-6366
(718) 345-3610
Mailing address
12 PULASKI ST APT 1D, BROOKLYN, NY 11206-6494
(718) 522-4022

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13083
NY

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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