Individual
CARMEN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 WHITTINGTON PARKWAY, SUITE 020, LOUISVILLE, KY 40222
(502) 429-1249
Mailing address
312 WHITTINGTON PARKWAY, SUITE 020, LOUISVILLE, KY 40222
(502) 429-1249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/11/2012
Last updated
07/15/2015
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