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Individual

MR. JOHN SCOTT FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
3415 WARD DR NW, ALBUQUERQUE, NM 87120-1145
(505) 831-9260
Mailing address
3415 WARD DR NW, ALBUQUERQUE, NM 87120-1145
(505) 831-9260

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-06919
NM

Other

Enumeration date
05/14/2010
Last updated
05/14/2010
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