Individual
TIFFANY DARLENE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCSW
Contact information
Practice address
114 N BENT ST, POWELL, WY 82435-2712
(406) 426-2505
Mailing address
114 N BENT ST, POWELL, WY 82435-2712
(406) 426-2505
(307) 939-2806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
05/03/2024
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