Individual
MS. LAURA KATHERINE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-6706
(727) 767-4715
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-6706
(727) 767-4715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW 4576
FL
171M00000X
Case Manager/Care Coordinator
Primary
SW-4576
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
753023400
—
FL
05
—
811642300
—
FL
Enumeration date
01/26/2007
Last updated
02/07/2011
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