Individual
DAVID W. FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2 POMPERAUG OFFICE PARK, SUITE 202, SOUTHBURY, CT 06488-2288
(203) 888-9659
Mailing address
PO BOX 273, BETHLEHEM, CT 06751-0273
(203) 888-9659
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004034
CT
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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