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1710539077
AMY ELISABETH FERGUSON
MARTINEZ, CA
NPI
1710539077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-16
Last Update Date
2019-07-16
Business Address
AMY ELISABETH FERGUSON
904 MELLUS ST
MARTINEZ, CA 94553-1745
Phone number: 925-229-0230
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Mailing Address
AMY ELISABETH FERGUSON
904 MELLUS ST
MARTINEZ, CA 94553-1745
Phone number: 925-229-0230
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