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Individual

AMY J PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 921-0214
(843) 579-3846
Mailing address
1170 SHAWNEE ST, SAVANNAH, GA 31419-1618
(912) 920-0214
(843) 579-3846

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007497
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1972887214
VA
Enumeration date
10/05/2011
Last updated
03/17/2018
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