Individual
AYANNA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
34 W 139TH ST, NEW YORK, NY 10037-1508
(212) 690-7234
Mailing address
185 CLAREMONT AVE APT 3A, NEW YORK, NY 10027-4017
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0807281
NY
1041C0700X
Clinical Social Worker
Primary
087440-1
NY
Other
Enumeration date
10/09/2012
Last updated
07/17/2023
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