Provider Information for 1861190662
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TIFFANY PAYNE LCSW
Sex: Female
NPI: 1861190662
Last Updated: 2023-02-21
Certification Date: 2023-02-21
Certification Date: 2023-02-21
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1861190662 | ||||||||
| Enumeration Date | 2023-02-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1351 NEWTOWN PIKE BLDG 1 LEXINGTON, KY 40511-1277 United States Phone: 859-253-1686 | Fax: | ||||||||
| Primary Practice Address | 1351 NEWTOWN PIKE BLDG 1 LEXINGTON, KY 40511-1277 United States Phone: 859-253-1686 | Fax: | ||||||||
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