BRENT FERGUSON

LAFAYETTE, IN
NPI1518668284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34010251A)
Enumeration Date2023-03-10
Last Update Date2023-03-10
Business Address
BRENT FERGUSON LCSW
2323 FERRY ST
LAFAYETTE, IN 47904-3054
Phone number: 765-270-4403
Mailing Address
BRENT FERGUSON LCSW
2323 FERRY ST
LAFAYETTE, IN 47904-3054
Phone number: 765-270-4403