Individual
MISS JACQUELINE D. PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-8087
(901) 516-8198
Mailing address
4714 SCOTTSDALE AVE, MEMPHIS, TN 38118-4359
(901) 368-0649
(901) 516-8198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW0000004195
TN
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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