Individual
FERN FERGUSON BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13405 NEW HALLS FERRY RD, FLORISSANT, MO 63033-3034
(314) 956-1595
Mailing address
13405 NEW HALLS FERRY RD, FLORISSANT, MO 63033-3034
(314) 956-1595
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2016020358
MO
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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