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Individual
MARIAH F BINGHAM
Active
Individual
MARIAH F BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S.1600714
OH
104100000X
Social Worker
S.1600714
OH
1041C0700X
Clinical Social Worker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
ODADAS GROUP NUMBER
OH
01
—
0074946
ODMH GROUP NUMBER
OH
01
—
01-0693
CARF CERTIFICATION
OH
01
—
H130910
MEDICARE PTAN GROUP
OH
Enumeration date
09/25/2015
Last updated
04/21/2021
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