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1598385221
SHAELI DIANE FERGUSON
MCMINNVILLE, OR
NPI
1598385221
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
SHAELI DIANE FERGUSON
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 504-434-7523
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Mailing Address
SHAELI DIANE FERGUSON
627 NE EVANS ST
MCMINNVILLE, OR 97128-3923
Phone number: 504-434-7523
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