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Individual

MS. LOUIE AVIS PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LBSW/IPR

Contact information

Practice address
1305 S 33RD ST, TEMPLE, TX 76504-6763
(254) 493-7662
(254) 771-4246
Mailing address
1305 S 33RD ST, TEMPLE, TX 76504-6763
(254) 493-7662
(254) 771-4246

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
33489
TX

Other

Enumeration date
06/10/2009
Last updated
06/10/2009
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