Individual
TASHA M FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2185 LEMOINE AVENUE, UNIT 1G, FORT LEE, NJ 07024
(877) 959-8180
(866) 535-3188
Mailing address
2185 LEMOINE AVENUE, UNIT 1G, FORT LEE, NJ 07024
(877) 959-8180
(866) 535-3188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NJ
1041C0700X
Clinical Social Worker
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL05721400
STATE LICENSE
NJ
Enumeration date
03/15/2022
Last updated
03/15/2022
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