MARDENE FERGUSON

BOISE, ID
NPI1215019294
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-1071)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
Mrs. MARDENE FERGUSON LCSW
10740 W FAIRVIEW AVE SUITE 100
BOISE, ID 83713-7926
Phone number: 208-376-0191
Mailing Address
Mrs. MARDENE FERGUSON LCSW
1837 E COUGAR CREEK DR
MERIDIAN, ID 83646-7343
Phone number: 208-887-6809
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