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1639467624
KEITH EDWARD PAYNE
WALLA WALLA, WA
NPI
1639467624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH 60241742)
Enumeration Date
2011-07-12
Last Update Date
2016-12-01
Business Address
-- KEITH EDWARD PAYNE LMHC
800 SPRAGUE AVE # 101
WALLA WALLA, WA 99362-3900
Phone number: 509-956-8125
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Mailing Address
-- KEITH EDWARD PAYNE LMHC
800 SPRAGUE AVE # 101
WALLA WALLA, WA 99362-3900
Phone number: 509-956-8125
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