Individual
MRS. BRENDA YVONNE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
468 WEYANOKE DR, EVANS, GA 30809-7080
(706) 860-2959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10461
SC
104100000X
Social Worker
Primary
MSW006253
GA
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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