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Individual

NICOLE DENISE PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
245 PITKIN ST, DETROIT, MI 48203-3737
(313) 865-1500
(313) 867-1477
Mailing address
12010 LINWOOD ST, DETROIT, MI 48206-1108
(313) 865-1500
(313) 867-1477

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SA820202
MI

Other

Enumeration date
04/04/2017
Last updated
04/07/2017
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