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Individual

ELIZABETH ANNE FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1295 W STATE ST STE 104, EL CENTRO, CA 92243-2881
(760) 337-3074
Mailing address
1295 W STATE ST, EL CENTRO, CA 92243-2845
(760) 337-3074

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/25/2007
Last updated
07/08/2007
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