Individual
MS. SHELLY LYNNE BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4798 NEW HIGHWAY 68, MADISONVILLE, TN 37354-1287
(423) 442-2622
(423) 442-5760
Mailing address
PO BOX 278, MADISONVILLE, TN 37354-0278
(423) 442-2622
(423) 442-5760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6084
TN
Other
Enumeration date
01/14/2008
Last updated
02/14/2022
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