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1457539587
AUDRA ARLENE PAYNE
BRISTOL, TN
NPI
1457539587
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Former Name
AUDRA PAYNE BLOOMER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TN CMSW 6388)
Enumeration Date
2008-01-31
Last Update Date
2008-01-31
Business Address
AUDRA ARLENE PAYNE CMSSW
26 MIDWAY ST
BRISTOL, TN 37620-1706
Phone number: 423-989-4500
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Mailing Address
AUDRA ARLENE PAYNE CMSSW
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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