Mutale Pauline Bingley, LCSW
Social Worker, Clinical in Braselton, GA. Individual provider (NPI-1).
NPI number1295098705
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1295098705
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mutale Pauline Bingley
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2012
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW006221 | GA | Yes |
| 1041C0700X | Social Worker, Clinical | 399 | AK |
Practice location
1515 River Pl Ste 200Braselton, GA 30517
Phone 770-848-6140 · Fax 770-848-6141
Mailing address
Po Box 742616Atlanta, GA 30374-2616
Phone 770-219-8420
Other practice locations
8420 Williwa Cir
Anchorage, AK 99504-4158
Anchorage, AK 99504-4158
Phone 190-789-1011
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