Individual
TERRELL BINFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.107.107
IL
1041C0700X
Clinical Social Worker
150.107.107
IL
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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