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Individual

COURTNEY FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
2020 HARDY ST STE A2, HATTIESBURG, MS 39401-4941
(601) 554-8556
Mailing address
2134 WEEPING WILLOW CIR, HATTIESBURG, MS 39402-6096
(601) 381-1233

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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