Individual
DR. MARY FEGURGUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LCSW
Contact information
Practice address
426 CHALAN SAN ANTONIO STE 104, TAMUNING, GU 96913-3631
(671) 649-5910
Mailing address
POB 326598, HAGATNA, GUAM 96932
(671) 483-4278
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS18780
CA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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