Individual
SHERRY CHAFFIN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SR. LPE
Contact information
Practice address
BRIGHT BLUE HEALTH CENTER, 1055 VENDALL ROAD, DYERSBURG, TN 38024-1622
(731) 882-7224
Mailing address
1000 STATE ROUTE U, CARUTHERSVILLE, MO 63830-2342
(573) 757-8600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0000011525
TN
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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