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Individual
JONATHAN FERGUSON
Active
Individual
JONATHAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851107266
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/24/2017
Last updated
12/11/2024
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