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1649033002
OLIVIA WILSON FERGUSON
SHREVEPORT, LA
NPI
1649033002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 8365)
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
OLIVIA WILSON FERGUSON LPC, NCC, CCTP
670 ALBEMARLE DR STE 1403
SHREVEPORT, LA 71106-5945
Phone number: 318-455-3965
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Mailing Address
OLIVIA WILSON FERGUSON LPC, NCC, CCTP
8609 W WILDERNESS WAY
SHREVEPORT, LA 71106-6121
Phone number: 318-455-3965
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