TIYANNA SHANEL PAYNE

OKEMOS, MI
NPI1457641490
Former NameTIYANNA SHANELL WHITT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801089377)
Enumeration Date2011-04-11
Last Update Date2016-09-14
Business Address
TIYANNA SHANEL PAYNE LMSW
2289 SOWER BLVD
OKEMOS, MI 48864-3297
Phone number: 517-347-4645
Mailing Address
TIYANNA SHANEL PAYNE LMSW
PO BOX 10
MASON, MI 48854-0010
Phone number: 517-676-9788