Individual
BILREKA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
700 PARK AVE, IRONTON, OH 45638-1502
(740) 532-1613
(740) 532-1715
Mailing address
PO BOX 108, IRONTON, OH 45638-0108
(740) 532-1613
(740) 532-1715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0800163-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167165
—
OH
Enumeration date
03/10/2016
Last updated
04/26/2018
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