Individual
LORNETA HALL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
633 E HWY 9, VIRGIN, UT 84779
(435) 635-4080
Mailing address
P.O. BOX 790099, 633 EAST HIGHWAY 9, VIRGIN, UT 84779
(435) 635-5260
(435) 635-5327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5655807-3501
UT
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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