Individual
SHANNON WHITE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 COLD SPRING RD, ROCKY HILL, CT 06067-3160
(518) 209-1727
Mailing address
309 FARMCLIFF DR, GLASTONBURY, CT 06033-4185
(860) 606-4820
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
004405
CT
104100000X
Social Worker
085109
NY
Other
Enumeration date
10/09/2020
Last updated
11/20/2023
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