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1750704060
TIMOTHY FERGUSON
TRENTON, NJ
NPI
1750704060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2014-01-23
Last Update Date
2014-01-23
Business Address
TIMOTHY FERGUSON
132 PERRY ST
TRENTON, NJ 08618-3968
Phone number: 609-394-8988
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Mailing Address
TIMOTHY FERGUSON
132 PERRY ST
TRENTON, NJ 08618-3968
Phone number: 609-394-8988
Copy
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