Individual
SHAQUANNA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 GRAYS HWY, RIDGELAND, SC 29936-5440
(843) 547-7072
Mailing address
1510 GRAYS HWY, RIDGELAND, SC 29936-5440
(843) 547-7072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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