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1548715808
FERN FERGUSON BUSH
FLORISSANT, MO
NPI
1548715808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2016020358)
Enumeration Date
2016-08-16
Last Update Date
2016-08-16
Business Address
-- FERN FERGUSON BUSH
13405 NEW HALLS FERRY RD
FLORISSANT, MO 63033-3034
Phone number: 314-956-1595
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Mailing Address
-- FERN FERGUSON BUSH
13405 NEW HALLS FERRY RD
FLORISSANT, MO 63033-3034
Phone number: 314-956-1595
Copy
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