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1114070232
LINDA JEAN FERGUSON
YAKIMA, WA
NPI
1114070232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003900)
Enumeration Date
2007-01-19
Last Update Date
2011-10-21
Business Address
-- LINDA JEAN FERGUSON
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
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Mailing Address
-- LINDA JEAN FERGUSON
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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