Individual
GLORIA L PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D LMFT
Contact information
Practice address
38108 MERIDIAN AVE, DADE CITY, FL 33525-3838
(352) 518-5232
(352) 518-9458
Mailing address
PO BOX 337, DADE CITY, FL 33526-0337
(352) 518-5232
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1605
FL
Other
Enumeration date
07/07/2006
Last updated
05/22/2008
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