Individual
KELLI RUTH PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 W CARMEL DR STE 120, CARMEL, IN 46032-5501
(131) 756-9543
(317) 569-5433
Mailing address
615 W CARMEL DR STE 120, CARMEL, IN 46032-5501
13175695433
(317) 569-1767
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001977A
IN
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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