Individual
LAURYN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WESTCHESTER SQ, BRONX, NY 10461-3525
(617) 775-8797
Mailing address
3303 WICKHAM AVE, BRONX, NY 10469-2735
(617) 775-8797
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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