Individual
KENDALL L FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4708 CREEKWOOD LN, MADISON, WI 53704-2499
(608) 571-2539
Mailing address
PO BOX 260053, MADISON, WI 53726-0053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11422123
WI
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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