NPI 1245099415

Mandi G Payne, LCSW

Practitioner Clinical Social Worker Yukon, OK

Practice location

Address: 3432 Pagoda Pead Dr, Yukon, OK 73099-3653
Phone: (682) 702-1526

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 20706 (OK)

Other Social Worker providers in Oklahoma →

Registry record

NPI: 1245099415
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2024
Record last updated: 18 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.