John Ferguson Licsw LLC
NPI #1467696872 in Spring Lake Park, Minnesota
Provider Information
- NPI Number
- 1467696872
- Entity Type
- Organization
- Organization Name
- John Ferguson Licsw LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 29, 2009
- Last Updated
- Apr 29, 2009
Practice Location
- Address
- 1340 81ST AVE NE
- City
- Spring Lake Park
- State
- Minnesota
- ZIP Code
- 55432-2116
- Phone
- (763) 783-4528
Authorized Official
- Name
- JOHN FERGUSON
- Title
- PRESIDENT
- Phone
- (763) 783-4528
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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