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1790853380
JODY LEE FERGUSON
OLYMPIA, WA
NPI
1790853380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA LH00004548)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
JODY LEE FERGUSON LMHC
2222 STATE AVE NE STE A
OLYMPIA, WA 98506-4764
Phone number: 360-705-0108
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Mailing Address
JODY LEE FERGUSON LMHC
PO BOX 11009
OLYMPIA, WA 98508-1009
Phone number: 360-352-2037
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