Individual
KERIN MYKAIL FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
2386 N 150 E, NORTH LOGAN, UT 84341-3179
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14223882-3503
UT
171M00000X
Case Manager/Care Coordinator
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—
Other
Enumeration date
05/12/2022
Last updated
05/21/2025
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