Individual
DANIELLE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 IDLEWILD DR, AIKEN, SC 29803-5360
(803) 221-5267
Mailing address
126 IDLEWILD DR, AIKEN, SC 29803-5360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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