Provider Information for 1275978157
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Mrs. SHERRY MICHELLE BLAND LCMHC
Sex: Female
NPI: 1275978157
Last Updated: 2022-09-19
Certification Date: 2022-09-19
Certification Date: 2022-09-19
Details
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NPI | 1275978157 | ||||||||||||||||||||
Enumeration Date | 2013-05-06 | ||||||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||||||
Status | Active | ||||||||||||||||||||
Mailing Address | 122 W. ELWOOD AVE STE 102 #1400 RAEFORD, NC 28376-2800 United States Phone: 910-248-9880 | Fax: | ||||||||||||||||||||
Primary Practice Address | 122 W. ELWOOD AVE STE 102 #1400 RAEFORD, NC 28376-2800 United States Phone: 910-248-9880 | Fax: | ||||||||||||||||||||
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