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1538157961
SANDRA KAY FERGUSON
CHAMPAIGN, IL
NPI
1538157961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149007315)
Enumeration Date
2005-10-10
Last Update Date
2007-07-08
Business Address
Ms. SANDRA KAY FERGUSON LCSW
2506 GALEN DR SUITE 103
CHAMPAIGN, IL 61821-7046
Phone number: 217-398-0744
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Mailing Address
Ms. SANDRA KAY FERGUSON LCSW
2506 GALEN DR SUITE 103
CHAMPAIGN, IL 61821-7046
Phone number: 217-398-0744
Copy
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