NATHAN FERGUSON

SWANSEA, IL
NPI1558983015
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149.021.481)
Enumeration Date2020-05-07
Last Update Date2024-04-11
Business Address
NATHAN FERGUSON
228 W POINTE DR
SWANSEA, IL 62226-8303
Phone number: 314-894-6105
Mailing Address
NATHAN FERGUSON
9710 WHITESTONE TER
SAINT LOUIS, MO 63119-1124
Phone number: 618-606-4347
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