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Individual

MRS. AUDREY ROSE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
33955 EMILIA LN, FREMONT, CA 94555-2068
(510) 794-0392
Mailing address
33955 EMILIA LN, FREMONT, CA 94555-2068
(510) 794-0392

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
210056935
CA
101YS0200X
School Counselor

Other

Enumeration date
10/09/2024
Last updated
11/06/2025
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