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1518668284
BRENT FERGUSON
LAFAYETTE, IN
NPI
1518668284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34010251A)
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
BRENT FERGUSON LCSW
2323 FERRY ST
LAFAYETTE, IN 47904-3054
Phone number: 765-270-4403
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Mailing Address
BRENT FERGUSON LCSW
2323 FERRY ST
LAFAYETTE, IN 47904-3054
Phone number: 765-270-4403
Copy
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