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1861879355
GEORGE FERGUSON
ALTON, IL
NPI
1861879355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.017581)
Enumeration Date
2015-05-04
Last Update Date
2018-07-12
Business Address
GEORGE FERGUSON M.S.W., L.C.S.W.
2615 EDWARDS ST
ALTON, IL 62002
Phone number: 618-462-2331
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Mailing Address
GEORGE FERGUSON M.S.W., L.C.S.W.
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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