Provider Demographics
NPI:1043367378
Name:FREE, SHERRY LYNN (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:LYNN
Last Name:FREE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 COLE AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-3814
Mailing Address - Country:US
Mailing Address - Phone:318-355-2761
Mailing Address - Fax:318-343-8915
Practice Address - Street 1:208 COLE AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-3814
Practice Address - Country:US
Practice Address - Phone:318-355-2761
Practice Address - Fax:318-343-8915
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical