Individual
JANDEE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 HOOHANA ST, KAHULUI, HI 96732-2476
(808) 873-9516
Mailing address
203 HOOHANA ST, KAHULUI, HI 96732-2476
(808) 873-9516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW4540
HI
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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