Individual
JENNA BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 HARB ST, CORNING, AR 72422-2507
(870) 323-1772
Mailing address
1301 HARB ST, CORNING, AR 72422-2507
(870) 323-1772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22749-C
AR
1041C0700X
Clinical Social Worker
63858
TX
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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