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1952012759
DIAN CLAIR FERGUSON
WEST HARTFORD, CT
NPI
1952012759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CT 5939)
Enumeration Date
2022-12-12
Last Update Date
2022-12-12
Business Address
DIAN CLAIR FERGUSON M.E.D
229 QUAKER LN S APT 3
WEST HARTFORD, CT 06119-1940
Phone number: 860-899-5366
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Mailing Address
DIAN CLAIR FERGUSON M.E.D
229 QUAKER LN S APT 3
WEST HARTFORD, CT 06119-1940
Phone number: 860-899-5366
Copy
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