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Individual

MR. DARYL EUGENE PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW/LCSW

Contact information

Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 594-6351
(860) 667-6842
Mailing address
121 TIMBER TRL, EAST HARTFORD, CT 06118-3559
(860) 594-6351
(860) 667-6747

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
104100000X
Social Worker
Primary
008375
CT

Other

Enumeration date
09/28/2006
Last updated
01/10/2014
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