Individual
KAYLA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 MAIN ST STE 200, MADISON, NJ 07940-2370
(973) 765-6167
Mailing address
11 WASHINGTON AVE, FANWOOD, NJ 07023-1728
(908) 917-3980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06285000
NJ
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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