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Individual

JEANNE E FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5015 N PENNSYLVANIA, SUITE 201, OKC, OK 73112
(405) 848-6565
(405) 848-4544
Mailing address
5015 N PENNSYLVANIA, SUITE 201, OKC, OK 73112
(405) 848-6565
(405) 848-4544

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1980
OK

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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