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Individual

JAYME DEE FERGODA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LICSW

Contact information

Practice address
1313 E. MAPLE STREET, STE. 224, BELLINGHAM, WA 98225
(360) 685-4224
(360) 685-4222
Mailing address
1313 E. MAPLE STREET, STE. 224, BELLINGHAM, WA 98225
(360) 685-4224
(360) 685-4222

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005651
WA

Other

Enumeration date
02/12/2008
Last updated
08/28/2014
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