Individual
MR. JAMAL-KALEE FERGUSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBS
Contact information
Practice address
272 MACDONALD AVE, WYNCOTE, PA 19095-2402
(267) 767-0662
Mailing address
272 MACDONALD AVE, WYNCOTE, PA 19095-2402
(267) 767-0662
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/21/2022
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