Individual
BEVERLY B FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
15876 WALKER FARM LN, GULFPORT, MS 39503-6600
(228) 342-1180
Mailing address
15876 WALKER FARM LN, GULFPORT, MS 39503-6600
(228) 342-1180
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M8453
MS
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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