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Individual

ANNALISA AMATO FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
577 DENALI RD, WINTERVILLE, NC 28590-8068
(252) 217-0962
Mailing address
577 DENALI RD, WINTERVILLE, NC 28590-8068
(252) 217-0962

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
06/08/2023
Last updated
05/08/2025
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