Individual
FRE'DRECIA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RSW
Contact information
Practice address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
Mailing address
622 RIVERSIDE DR, MONROE, LA 71201-6211
(318) 398-0945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
010051263
LA
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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