John Dwight Ferguson, LICSW

NPI #1588744304 in Spring Lake Park, Minnesota

Provider Information

NPI Number: 1588744304
Entity Type: Individual
Name: John Dwight Ferguson, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1340 81ST AVE NE
City: Spring Lake Park
State: Minnesota
ZIP Code: 55432-2116
Phone: (763) 783-4528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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Organizations

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