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1578117123
MICHELLE FERGUSON
BOISE, ID
NPI
1578117123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: ID LMSW38846)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
MICHELLE FERGUSON LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-382-2721
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Mailing Address
MICHELLE FERGUSON LMSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-382-2721
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