Marlon Bynum, | |
126 N Main St, Warrenton, NC 27589-1922 | |
(252) 879-0091 | |
Not Available |
Full Name | Marlon Bynum |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 126 N Main St, Warrenton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013577881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Cognitive-behavioral Therapy Center Of Western North Carolina Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437332525 PECOS PAC ID: 6901093616 Enrollment ID: O20101207001077 |
Mailing Address | Practice Location Address |
---|---|
Marlon Bynum, 210 Orkney Rd, Stem, NC 27581-9131 Ph: (919) 824-4934 | Marlon Bynum, 126 N Main St, Warrenton, NC 27589-1922 Ph: (252) 879-0091 |
Keyanna Ivon Terry, MSW, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1932 Us Highway 401 S, Warrenton, NC 27589 Phone: 877-589-3969 Fax: 877-786-5369 | |
Shalonda Alston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 302 Gillis Alston Rd, Warrenton, NC 27589 Phone: 252-270-5001 | |
Philip Terry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1932 Us Highway 401 S, Warrenton, NC 27589 Phone: 919-886-6056 | |
Grace George, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1711 Alert Rd, Warrenton, NC 27589 Phone: 919-673-3548 | |
Ms. Sharon Butler Pair, MSW, LCSW, LCAS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 108 S Main St, Warrenton, NC 27589 Phone: 252-879-0075 |