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1952776296
SUSANNE FERGUSON
PORT ST LUCIE, FL
NPI
1952776296
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Former Name
SUSANNE HENRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-12-12
Last Update Date
2015-12-12
Business Address
SUSANNE FERGUSON M.A.
525 NW LAKE WHITNEY PL SUITES # 102 & # 103
PORT ST LUCIE, FL 34986-1605
Phone number: 772-337-8164
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Mailing Address
SUSANNE FERGUSON M.A.
3257 SE QUAY ST
PORT ST LUCIE, FL 34984-6518
Phone number:
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