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1922681097
CLINTON PAYNE
DOUGLASVILLE, GA
NPI
1922681097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA LPC002603)
Enumeration Date
2021-05-05
Last Update Date
2021-05-05
Business Address
CLINTON PAYNE LPC
3400 CHAPEL HILL RD
DOUGLASVILLE, GA 30135-1739
Phone number: 404-247-0344
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Mailing Address
CLINTON PAYNE LPC
3400 CHAPEL HILL RD
DOUGLASVILLE, GA 30135-1739
Phone number: 494-247-0344
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