Individual
DEANA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5302 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6047
TN
1041C0700X
Clinical Social Worker
8416
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q015025
—
TN
Enumeration date
12/05/2011
Last updated
03/05/2024
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