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1114108230
TAMMY R PAYNE
PUEBLO, CO
NPI
1114108230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CO 1119)
Enumeration Date
2007-11-16
Last Update Date
2023-01-24
Business Address
Ms. TAMMY R PAYNE LCSW
1711 E EVANS AVE
PUEBLO, CO 81004-3349
Phone number: 719-543-8751
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Mailing Address
Ms. TAMMY R PAYNE LCSW
42 PLEASURE TRL
PENROSE, CO 81240-9676
Phone number: 719-320-7825
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