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Individual

HEATHER FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1903
(201) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05602600
NJ
1041C0700X
Clinical Social Worker
Primary
44SC0552400
NJ

Other

Enumeration date
01/12/2012
Last updated
11/18/2013
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