Individual
ELIZABETH FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 MONTOWESE ST STE G, BRANFORD, CT 06405-3869
(203) 513-9562
Mailing address
15 SPRING ROCK RD, BRANFORD, CT 06405-5519
(203) 823-8148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003695
CT
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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