Miss. Detra Ferguson
Miss. Detra Ferguson is a Case Manager/Care Coordinator in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2018
Practice location Address checks out
11805 W Hampton Ave Ste 103Milwaukee, WI 53225-3612
Phone: (414) 213-3966
Fax: (414) 755-7676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (WI) |
|---|
Record details
| NPI number | 1487141099 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2018 |
| Last updated in NPPES | April 18, 2018 |
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