DIANE BINGHAM

LOGAN, UT
NPI1376825364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy253J00000X Foster Care Agency
Additional Taxonomies106H00000X Marriage & Family Therapist
Enumeration Date2011-09-15
Last Update Date2011-09-15
Business Address
-- DIANE BINGHAM
464 N 300 E BASEMENT
LOGAN, UT 84321-4117
Phone number: 208-650-8362
Mailing Address
-- DIANE BINGHAM
464 N 300 E BAMT
LOGAN, UT 84321-4117
Phone number: 208-650-8362