Individual
SHERI K BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1127 SECOND ST., LAKE VILLAGE, AR 71653
(870) 265-3803
(870) 265-2733
Mailing address
790 ROBERTS DRIVE, MONTICELLO, AR 71655
(870) 367-9732
(870) 460-6133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1008094
AR
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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