NPI | 1457553190 |
---|---|
Other Name | LAMAR PAYNE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MO 2022011476) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 2067C) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2025-01-10 |