Individual
ALTHEA BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2432 W PEORIA AVE STE 1123, PHOENIX, AZ 85029-4733
(480) 382-6522
Mailing address
2432 W PEORIA AVE STE 1123, PHOENIX, AZ 85029-4733
(480) 382-6522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12202
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310006
—
AZ
05
—
346214
—
AZ
Enumeration date
05/08/2007
Last updated
10/05/2021
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