Individual
JAMES EDWARD FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8501 JOLIET AVE, LUBBOCK, TX 79423-2628
(806) 786-9654
Mailing address
8501 JOLIET AVE, LUBBOCK, TX 79423-2628
(806) 786-9654
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25952
TX
1041C0700X
Clinical Social Worker
25952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071275402
—
TX
Enumeration date
09/02/2005
Last updated
07/24/2012
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