Individual
CHANTRI PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
119 S 1ST ST, OKEMAH, OK 74859-4010
(918) 623-2922
(918) 623-9316
Mailing address
119 S 1ST ST, OKEMAH, OK 74859-4010
(918) 623-2922
(918) 623-9316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7077
OK
Other
Enumeration date
01/15/2014
Last updated
09/20/2023
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