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Contact Information

MUTALE P BINGLEY, LCSW
1515 RIVER PL STE 200
BRASELTON, GA30517
 Phone: 770-848-6140
 Fax: 770-848-6141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MUTALE P BINGLEY · (Female)

NPI Number 1295098705
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/19/2012
Last updated 12/08/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 399
  • GA License # CSW006221
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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