Individual
JUSTIN BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
1620 SANTA CLARA DR STE 100, ROSEVILLE, CA 95661-3559
(916) 786-3750
Mailing address
1620 SANTA CLARA DR STE 100, ROSEVILLE, CA 95661-3559
(916) 786-3750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW122515
CA
Other
Enumeration date
02/22/2022
Last updated
06/24/2024
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