Individual
EMMA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 N ILLINOIS ST STE 14, INDIANAPOLIS, IN 46208-4682
(317) 757-8049
Mailing address
3333 N ILLINOIS ST STE 14, INDIANAPOLIS, IN 46208-4682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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