Individual
AMBER LOCKIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC, CS-IT
Contact information
Practice address
407 S MAIN ST, VIROQUA, WI 54665-2100
(608) 637-3195
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10167-123
WI
Other
Enumeration date
10/26/2018
Last updated
04/17/2024
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