Individual
JSHAQUERRIAH DEQUAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1720 W BROADWAY FL 2, LOUISVILLE, KY 40203-3607
(502) 268-8676
Mailing address
1806 BONO RD APT 14, NEW ALBANY, IN 47150-4680
(312) 605-2753
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW00001139
KY
Other
Enumeration date
09/17/2025
Last updated
11/20/2025
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