Individual
CORINNE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4255 N KNOX AVE, CHICAGO, IL 60641-1904
(773) 245-3695
Mailing address
1531 W HOWARD ST APT 508, CHICAGO, IL 60626-1898
(773) 318-2716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149018291
IL
Other
Enumeration date
03/16/2016
Last updated
06/10/2024
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