Individual
FREDERICK A PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LLPC
Contact information
Practice address
148 LEICESTER CT, DETROIT, MI 48202-1639
(313) 559-7297
Mailing address
148 LEICESTER CT, DETROIT, MI 48202-1639
(313) 559-7297
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023945
MI
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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