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Individual

BROOKE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
508 DOLBY ST, LAKE CHARLES, LA 70605-6610
(337) 704-7514
Mailing address
508 DOLBY ST, LAKE CHARLES, LA 70605-6610

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
16540
LA
1041C0700X
Clinical Social Worker
Primary
16540
LA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
02/08/2022
Last updated
03/15/2024
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