Individual
JOHN H PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
321 W PROMENADE ST, MEXICO, MO 65265-2719
(573) 582-1234
(573) 582-1212
Mailing address
321 W PROMENADE ST, MEXICO, MO 65265-2719
(573) 582-1234
(573) 582-1212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000735
MO
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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