ANTHONY FERGUSON

DES MOINES, IA
NPI1073068789
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-08-23
Last Update Date2016-08-23
Business Address
-- ANTHONY FERGUSON
1409 CLARK ST
DES MOINES, IA 50314-1964
Phone number: 515-643-6597
Mailing Address
-- ANTHONY FERGUSON
1409 CLARK ST
DES MOINES, IA 50314-1964
Phone number:
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