Individual
ANGILA A FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
167 OAKDALE RD, JOHNSON CITY, NY 13790-1007
(607) 600-9687
Mailing address
209 UNION ST, JOHNSON CITY, NY 13790
(607) 744-1291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125826
NY
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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