Individual
MR. C JIM BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1900 HWY 87,, UNIT G, NAVARRE, FL 32566-2831
(850) 710-3702
(850) 710-3702
Mailing address
1900 HWY 87, UNIT G, NAVARRE, FL 32566-2831
(910) 494-8746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C004611
NC
1041C0700X
Clinical Social Worker
Primary
SW0002652
FL
Other
Enumeration date
05/08/2006
Last updated
12/14/2015
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