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Individual

CHARITY LYNNE WRIGHT PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CTRS, TRS

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
225800000X
Recreation Therapist
Primary
8678686-4002
UT

Other

Enumeration date
01/17/2017
Last updated
05/24/2024
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