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Individual

ANTOINETTE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
25D CONGRESSIONAL CIR, READING, PA 19607-3463
(610) 372-2913
Mailing address
25D CONGRESSIONAL CIR, READING, PA 19607-3463
(610) 372-2913

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW135218
PA

Other

Enumeration date
05/06/2019
Last updated
05/06/2019
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