Individual
MR. TIMOTHY M. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, MSW
Contact information
Practice address
3031 S RUSSELL ST, MISSOULA, MT 59801-8523
(406) 728-9814
Mailing address
3031 S RUSSELL ST, MISSOULA, MT 59801-8523
(406) 728-9814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
623
MT
Other
Enumeration date
10/11/2006
Last updated
05/05/2016
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