Individual
MRS. KIMBERLY M PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3801 CANAL ST, STE. 314, NEW ORLEANS, LA 70119-6082
(504) 483-7243
(504) 483-7264
Mailing address
3801 CANAL ST, STE. 314, NEW ORLEANS, LA 70119-6082
(504) 483-7243
(504) 483-7264
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7445
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721447250
—
LA
Enumeration date
03/01/2012
Last updated
03/06/2012
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