Individual
SHERRY BOUGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
2139 BENNETT AVE, MEMPHIS, TN 38114-3608
(901) 494-9334
Mailing address
2139 BENNETT AVE, MEMPHIS, TN 38114-3608
(901) 494-9334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW0000007414
TN
1041C0700X
Clinical Social Worker
Primary
LSW0000008634
TN
Other
Enumeration date
06/11/2008
Last updated
08/24/2024
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