Individual
FANICA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 293-5323
Mailing address
PO BOX 9137, MORGANTOWN, WV 26506-9137
(304) 293-5323
(304) 293-8724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00944375
WV
Other
Enumeration date
08/26/2015
Last updated
10/19/2015
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