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Individual
MR. JONATHAN FERGUSON
Active
Individual
MR. JONATHAN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
FL
Other
Enumeration date
05/30/2019
Last updated
07/03/2019
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