LAWRENCE FERGUSON

TACOMA, WA
NPI1134586639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP00001996)
Enumeration Date2016-01-28
Last Update Date2016-01-28
Business Address
MR. LAWRENCE FERGUSON CDP
1016 S 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-680-2768
Mailing Address
MR. LAWRENCE FERGUSON CDP
1016 S 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-680-2768
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