Individual
CIARA DAWN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 N VANDEMARK RD, SIDNEY, OH 45365-3567
(937) 710-4616
Mailing address
530 S MAIN ST, LIMA, OH 45804-1240
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34-1475943
—
OH
Enumeration date
01/30/2023
Last updated
01/30/2023
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