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NPI Code Detail

MEDICARE: BINTOU BAH MSW, LSW

MEDICARE: BINTOU BAH MSW, LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor1600117OH
21041C0700XClinical Social Worker1600117OH

General Provider Information

NPI Number : 1194224733
Entity Type Code : Individual
Provider Name (Legal Business Name) : BINTOU BAH MSW, LSW
Provider Business Mailing Address
First Line : 7031 CORPORATE WAY STE 103
Second Line :
City : DAYTON
State : OH
Zip : 45459-4262
Country : US
Telephone Number : 937-619-9089
Fax Number : 937-265-6028
Provider Business Practice Location Address
First Line : 7031 CORPORATE WAY STE 103
Second Line :
City : DAYTON
State : OH
Zip : 45459-4262
Country : US
Telephone Number : 937-619-9089
Fax Number : 937-265-6028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2018
Last Update Date : 01/11/2023

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Directions to “ BINTOU BAH MSW, LSW” Practice Location

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