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1700253796
FANICA PAYNE
MORGANTOWN, WV
NPI
1700253796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WV BP00944375)
Enumeration Date
2015-08-26
Last Update Date
2015-10-19
Business Address
-- FANICA PAYNE LGSW
930 CHESTNUT RIDGE RD
MORGANTOWN, WV 26505-2807
Phone number: 304-293-5323
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Mailing Address
-- FANICA PAYNE LGSW
PO BOX 9137
MORGANTOWN, WV 26506-9137
Phone number: 304-293-5323
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