Individual
MRS. HEATHER RENEE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N. MAIN ST, BROKEN BOW, OK 74728
(580) 584-2478
Mailing address
PO BOX 391, BROKEN BOW, OK 74728-0391
(315) 748-9993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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