Individual
MS. SIMONE VENISSA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3430 HIGHWAY 20 SE, CONYERS, GA 30013-2868
(770) 922-4482
(770) 922-4640
Mailing address
2003 FIVE OAKS WAY, TUCKER, GA 30084-8152
(203) 706-7039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW012322
GA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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