Alisa Payne
Social Worker, Clinical in Independence, IA. Individual provider (NPI-1).
NPI number1003674722
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1003674722
- Entity type
- Individual (NPI-1)
- Name
- Alisa Payne
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2024
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
710 5th St NeIndependence, IA 50644-2061
Phone 319-327-3626
Mailing address
710 5th St NeIndependence, IA 50644-2061
Phone 319-327-3626
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