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1043691470
KIM FERGUSON
BAKER, LA
NPI
1043691470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-06-11
Last Update Date
2018-07-30
Business Address
KIM FERGUSON MA
4425 GROOM RD
BAKER, LA 70714
Phone number: 225-767-5699
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Mailing Address
KIM FERGUSON MA
4425 GROOM RD
BAKER, LA 70714-3046
Phone number: 225-757-5699
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