Individual
AMANDA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSMW
Contact information
Practice address
1 GUSTAVE L LEVY PLACE, BOX 1252, NEW YORK, NY 10029-6574
(212) 241-0448
Mailing address
1 GUSTAVE L LEVY PLACE, BOX 1252, NEW YORK, NY 10029-6574
(212) 241-0448
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72 074459
NY
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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