Individual
SOPHIA MARIE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
12270 POTOMAC VIEW DR, NEWBURG, MD 20664-2250
(301) 641-4790
Mailing address
12270 POTOMAC VIEW DR, NEWBURG, MD 20664-2250
(301) 641-4790
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30464
MD
Other
Enumeration date
07/19/2012
Last updated
11/06/2023
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