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1770069924
TAMITHA WYNEMA FERGUSON
ALBUQUERQUE, NM
NPI
1770069924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-11
Last Update Date
2024-10-13
Business Address
TAMITHA WYNEMA FERGUSON
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102
Phone number: 505-345-8471
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Mailing Address
TAMITHA WYNEMA FERGUSON
707 BROADWAY BLVD NE
ALBUQUERQUE, NM 87102-2360
Phone number: 505-345-8471
Copy
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