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Individual

MS. CATRICIA LYNN PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW, LCDC-III

Contact information

Practice address
45 W MELFORD AVE, DAYTON, OH 45405-1741
(937) 241-2099
Mailing address
45 W MELFORD AVE, DAYTON, OH 45405-1741
(937) 241-2099

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.081203
OH
104100000X
Social Worker
Primary
S.0020442
OH

Other

Enumeration date
11/28/2016
Last updated
11/28/2016
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