Individual
GWENDOLYN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
10427 DETROIT AVE, CLEVELAND, OH 44102
(216) 772-3415
Mailing address
6796 CHARLES ROAD, NORTH OLMSTED, OH 44070
(440) 724-9025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1903645
OH
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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