Individual
JEANESSA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
5115 S 3RD ST, LOUISVILLE, KY 40214-2601
(502) 428-4094
Mailing address
2331 RAUSCH DR, LOUISVILLE, KY 40216-4827
(502) 489-7160
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KY
Other
Enumeration date
09/07/2018
Last updated
03/31/2021
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