Thomas Payne, LCSW

NPI #1043974447 in Provo, Utah

Provider Information

NPI Number: 1043974447
Entity Type: Individual
Name: Thomas Payne, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 22, 2021
Last Updated: Oct 22, 2021

Practice Location

Address: 1300 E CENTER ST
City: Provo
State: Utah
ZIP Code: 84606-3554
Phone: (801) 344-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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