Individual
LEKECIA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7970 W GLENDBROOK RD, MILWAUKEE, WI 53223
(414) 213-4401
Mailing address
7970 W GLENDBROOK RD, MILWAUKEE, WI 53223
(414) 213-4401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
03/19/2020
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