JENNA TYLER FERGUSON

DURHAM, NC
NPI1962016204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NC  P012896)
Enumeration Date2020-09-03
Last Update Date2020-09-03
Business Address
JENNA TYLER FERGUSON
3622 LYCKAN PKWY STE 3002
DURHAM, NC 27707-2572
Phone number: 919-602-6766
Mailing Address
JENNA TYLER FERGUSON
1115 BERKELEY ST
DURHAM, NC 27705-3507
Phone number: 704-516-4601