Provider Demographics
NPI:1881649606
Name:FERGUSON, HELOISE RAGLAND (MSW,MPH)
Entity Type:Individual
Prefix:
First Name:HELOISE
Middle Name:RAGLAND
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MSW,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7007 WALLING LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-7309
Mailing Address - Country:US
Mailing Address - Phone:214-349-1980
Mailing Address - Fax:
Practice Address - Street 1:4500 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7167
Practice Address - Country:US
Practice Address - Phone:214-857-0943
Practice Address - Fax:214-857-0923
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker