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1134586639
LAWRENCE FERGUSON
TACOMA, WA
NPI
1134586639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00001996)
Enumeration Date
2016-01-28
Last Update Date
2016-01-28
Business Address
Mr. LAWRENCE FERGUSON CDP
1016 S 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-680-2768
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Mailing Address
Mr. LAWRENCE FERGUSON CDP
1016 S 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-680-2768
Copy
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