Individual
MRS. JUDITH ANN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1129 OAKLEY LN, LAKE SAINT LOUIS, MO 63367-1957
(314) 852-8952
(636) 898-5322
Mailing address
200 SHAWN CT, WASHINGTON, MO 63090-6452
(636) 239-1585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007035808
MO
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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