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1023508066
MIKAILA R PAYNE
JACKSON, OH
NPI
1023508066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.166753)
Enumeration Date
2018-05-15
Last Update Date
2018-09-10
Business Address
MIKAILA R PAYNE CDCA
345 E MAIN ST STE A
JACKSON, OH 45640-1780
Phone number: 740-288-3767
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Mailing Address
MIKAILA R PAYNE CDCA
265 E BROADWAY ST
JACKSON, OH 45640-1454
Phone number: 740-935-2790
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