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Organization

FROM THE BEGINNING CHMS CLINIC

Active
Other names
Sherry Bunch Inc
Organization subpart
No

Provider details

NPI number
Authorized official
SHERRY JOANN BUNCH LPE,LPC (EXECUTIVE DIRECTOR)
(870) 994-3103
Entity
Organization

Contact information

Practice address
120 NIX RIDGE RD, ASH FLAT, AR 72513-9017
(870) 994-3103
Mailing address
120 NIX RIDGE RD, ASH FLAT, AR 72513-9017
(870) 994-3103

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150775724
AR
Enumeration date
03/13/2007
Last updated
06/16/2008
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