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1144249020
DWIGHT FERGUSON
GRAND RAPIDS, MI
NPI
1144249020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801034795)
Enumeration Date
2006-07-19
Last Update Date
2010-03-17
Business Address
-- DWIGHT FERGUSON MSW
3000 MONROE AVE NE
GRAND RAPIDS, MI 49505-3397
Phone number: 616-364-5295
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Mailing Address
-- DWIGHT FERGUSON MSW
3000 MONROE AVE NE
GRAND RAPIDS, MI 49505-3397
Phone number: 616-364-5295
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