Individual
MS. TRICIA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
4220 CAROLINA EXCHANGE DR, MYRTLE BEACH, SC 29579-4220
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11572
SC
1041C0700X
Clinical Social Worker
8412-123
WI
Other
Enumeration date
08/15/2014
Last updated
10/16/2019
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