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SHERRIE BERNICE BEDWELL MHPP

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1164672671

Individual Registrant:
 SHERRIE BERNICE BEDWELL MHPP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2300 PRESTON ST STE 100 TEXARKANA, AR 71854-5762 US
Tel: 870-773-0700  Fax: 870-773-0705

Contact information for business:
5537 BLEAUX AVE  SPRINGDALE, AR 72762-0737 US
Tel: 479-872-5580  Fax: 479-872-5581

Registration Information:
NPI: 1164672671
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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