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Individual

WARREN FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
168 N MERAMEC AVE, SAINT LOUIS, MO 63105-3799
(314) 384-2511
Mailing address
1621 WALPOLE DR, CHESTERFIELD, MO 63017-4693

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021051230
MO

Other

Enumeration date
01/02/2024
Last updated
01/02/2024
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