Individual
MR. JOE FRANCIS FERGUSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
820 S DAMEN AVE, JESSE BROWN SOCIAL WORK, CHICAGO, IL 60612
(312) 569-8005
Mailing address
820 S DAMEN AVE, JESSE BROWN SOCIAL WORK, CHICAGO, IL 60612
(312) 569-8005
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
149016415
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083007496
—
IL
Enumeration date
03/09/2015
Last updated
03/25/2019
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