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Individual

LORIE FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, ALACE TRAINED

Contact information

Practice address
565 OLD BRISTOW RD, INDEPENDENCE, KY 41051-9606
(859) 240-2098
Mailing address
565 OLD BRISTOW RD, INDEPENDENCE, KY 41051-9606
(859) 240-2098

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
374J00000X
Doula

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
06/22/2006
Last updated
08/26/2014
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