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Individual

MRS. ELIZABETH ANN FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1635 S RIDGEWOOD AVE STE 225, SOUTH DAYTONA, FL 32119-8478
(386) 788-5021
(386) 788-5021
Mailing address
1635 S RIDGEWOOD AVE STE 225, SOUTH DAYTONA, FL 32119-8478
(386) 788-5021
(386) 788-5021

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 10893
FL

Other

Enumeration date
04/01/2014
Last updated
11/20/2017
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