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1104192624
DANIELLE FERGUSON
SALT LAKE CITY, UT
NPI
1104192624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
-- DANIELLE FERGUSON
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- DANIELLE FERGUSON
2978 BLAIR ST APT 7
SALT LAKE CITY, UT 84115
Phone number:
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