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Individual
TENEKA S FERGUSON
Active
Individual
TENEKA S FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-1600242-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450657
—
OH
Enumeration date
07/08/2021
Last updated
08/11/2021
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