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NPI Profile for SHERI K BAGWELL in LAKE VILLAGE, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1902113913 |
|
| Status | Active | |
| Credentials | LAC | |
| Entity | Individual | |
| Enumeration date | 09/13/2010 | |
| Last updated | 09/13/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHERI K BAGWELL
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SHERI K BAGWELL, LAC