Individual
MR. ROBERT F. PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
416 S MAIN ST, SUITE B-1, HAILEY, ID 83333-8440
(208) 788-5121
(208) 788-5121
Mailing address
PO BOX 3856, 416 S. MAIN B-1, HAILEY, ID 83333-3856
(208) 788-5121
(208) 788-5121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-603
ID
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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