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NPI Code Detail

MEDICARE: MALETICA FERGUSON

MEDICARE: MALETICA FERGUSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306218607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALETICA FERGUSON
Provider Business Mailing Address
First Line : 301 MAIN ST STE 2218
Second Line :
City : BATON ROUGE
State : LA
Zip : 70801-0014
Country : US
Telephone Number : 225-733-3353
Fax Number :
Provider Business Practice Location Address
First Line : 301 MAIN ST STE 2218
Second Line :
City : BATON ROUGE
State : LA
Zip : 70801-0014
Country : US
Telephone Number : 225-733-3353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2015
Last Update Date : 10/26/2015

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Directions to “ MALETICA FERGUSON ” Practice Location

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