Individual
CARLAN MORRIS FERGASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(763) 271-2440
Mailing address
1013 HART BLVD, MONTICELLO, MN 55362-8575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21174
MN
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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