MR. George Thomas Payne, L. C. S. W.

NPI #1154760288 in Twin Falls, Idaho

Provider Information

NPI Number
1154760288
Entity Type
Individual
Name
MR. George Thomas Payne, L. C. S. W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
L. C. S. W.
Enumeration Date
Jun 21, 2013
Last Updated
Jun 21, 2013

Practice Location

Address
535 ALTURAS DR N
State
Idaho
ZIP Code
83301-4332
Phone
(208) 420-5347

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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