Mandi G Payne, LCSW
Social Worker, Clinical in Yukon, OK. Individual provider (NPI-1).
NPI number1245099415
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1245099415
- Entity type
- Individual (NPI-1)
- Name
- Mandi G Payne
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2024
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 20706 | OK | Yes |
Practice location
3432 Pagoda Pead DrYukon, OK 73099-3653
Phone 682-702-1526
Mailing address
3432 Pagoda Pead DrYukon, OK 73099-3653
Phone 682-702-1526
Other practice locations
4401 S Western Ave
Oklahoma City, OK 73109-3413
Oklahoma City, OK 73109-3413
Phone 405-231-1470
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