Individual
ELLEN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3705 HAWK RIDGE ST, ROUND ROCK, TX 78665-1130
(737) 304-6892
Mailing address
PO BOX 116, MC NEIL, TX 78651-0116
(737) 304-6892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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