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1861035610
RICKY WILSON FERGUSON
CLEVELAND, OH
NPI
1861035610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-24
Last Update Date
2019-10-24
Business Address
RICKY WILSON FERGUSON
4671 COUNTRY LN APT 108
CLEVELAND, OH 44128-5823
Phone number: 216-317-9703
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Mailing Address
RICKY WILSON FERGUSON
4671 COUNTRY LN APT 108
CLEVELAND, OH 44128-5823
Phone number: 216-317-9703
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