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Individual

MISS CHARISSE NICOLE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW, LGSW, LMSW

Contact information

Practice address
1120 VERMONT AVE NW, SUITE 50, WASHINGTON, DC 20005-3523
(202) 326-8985
Mailing address
1120 VERMONT AVE NW, WASHINGTON, DC 20005-3523
(202) 326-8985

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
085548
NY
104100000X
Social Worker
0903001958
VA
104100000X
Social Worker
19039
MD
104100000X
Social Worker
44SL05534000
NJ
104100000X
Social Worker
Primary
LG50080644
DC

Other

Enumeration date
10/29/2013
Last updated
12/15/2014
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