ANTONIO PAYNE

SHREVEPORT, LA
NPI1407355829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-02-12
Last Update Date2018-09-21
Business Address
ANTONIO PAYNE
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number: 318-626-5597
Mailing Address
ANTONIO PAYNE
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number:
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