Diane Bingham

NPI #1376825364 in Logan, Utah

Provider Information

NPI Number: 1376825364
Entity Type: Individual
Name: Diane Bingham
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Foster Care Agency
Enumeration Date: Sep 15, 2011
Last Updated: Sep 15, 2011

Practice Location

Address: 464 N 300 E
Address 2: BASEMENT
City: Logan
State: Utah
ZIP Code: 84321-4117
Phone: (208) 650-8362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X
Foster Care Agency	253J00000X	Primary

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