Individual
COREEN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 SOUTH ST, PHILADELPHIA, PA 19146-1514
(440) 823-7378
Mailing address
285 W HAINES ST, PHILADELPHIA, PA 19144-3318
(440) 823-7378
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW136279
PA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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