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1487099420
CHARLES ROBERT FERGUSON
DETROIT, MI
NPI
1487099420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI 6401222909)
Enumeration Date
2013-05-03
Last Update Date
2024-11-11
Business Address
MR. CHARLES ROBERT FERGUSON MS, LPC, NBCC
17950 WOODWARD AVE
DETROIT, MI 48203-2260
Phone number: 313-401-0929
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Mailing Address
MR. CHARLES ROBERT FERGUSON MS, LPC, NBCC
17950 WOODWARD AVE
DETROIT, MI 48203-2260
Phone number: 313-401-0929
Copy
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