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1548551955
SHAUNDAWNA NICOLE FERGUSON
ROGERS, AR
NPI
1548551955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-04-20
Last Update Date
2011-04-20
Business Address
-- SHAUNDAWNA NICOLE FERGUSON BA CIT
1200 W WALNUT ST
ROGERS, AR 72756-3521
Phone number: 479-636-0083
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Mailing Address
-- SHAUNDAWNA NICOLE FERGUSON BA CIT
4155 N CHRYSLER DR #3
FAYETTEVILLE, AR 72703-4871
Phone number: 479-530-1117
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