Individual
ROGER FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
533 E CECIL ST, NEENAH, WI 54956-3818
(920) 420-9513
Mailing address
320 S. WALNUT ST., APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-2185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12301-123
WI
Other
Enumeration date
02/03/2020
Last updated
05/09/2025
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