| Doctor Name: | SHERRI SEDGEBEAR |
| NPI Number: | 1245280825 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CSW0000004591 |
| Business Practice Address: | 19410 W Main St Huntingdon, TN - 383443415 |
| Business Phone Number: | 7319864411 |
| Business Fax Number: | 7319862678 |
| Mailing Address: | Po Box 30, PARIS |
| State: | TN |
| Postal Code: | 382420030 |
| Phone Number: | 7316420521 |
| Fax Number: | 7316421010 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 08/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW0000004591 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |