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1821818022
KYLE PAYNE
PHOENIX, AZ
NPI
1821818022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-23043)
Enumeration Date
2024-10-12
Last Update Date
2024-10-12
Business Address
KYLE PAYNE LAC
6245 N 24TH PKWY # A208
PHOENIX, AZ 85016-2024
Phone number: 602-492-2594
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Mailing Address
KYLE PAYNE LAC
555 N COLLEGE AVE APT 1070
TEMPE, AZ 85288-0185
Phone number: 847-989-6976
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