DETRA FERGUSON

MILWAUKEE, WI
NPI1487141099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
Miss DETRA FERGUSON
11805 W HAMPTON AVE STE 103
MILWAUKEE, WI 53225-3612
Phone number: 414-213-3966
Mailing Address
Miss DETRA FERGUSON
11805 W HAMPTON AVE STE 103
MILWAUKEE, WI 53225-3612
Phone number: 414-213-3966
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