Individual
KEVIN MAURICE BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1523 RILEY AVE, ORLANDO, FL 32805-4215
(407) 373-8538
Mailing address
1523 RILEY AVE, ORLANDO, FL 32805-4215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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