Individual
MISS DHURANIQUE DAPHNE LAURA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 N OCOEE ST, CLEVELAND, TN 37311-4475
(423) 380-8255
Mailing address
260 25TH ST NE APT 1604, CLEVELAND, TN 37311-3972
(423) 813-9579
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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