Individual
KARLY DAWN BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1740 E 17TH ST, IDAHO FALLS, ID 83404-6375
(208) 346-7500
Mailing address
3474 N VOLCANIC AVE, IDAHO FALLS, ID 83401-6152
(208) 419-5688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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