MARY LOUISE FERGUSON

SHIRLEY, NY
NPI1992022032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  R055379-1)
Enumeration Date2010-04-29
Last Update Date2010-04-29
Business Address
MARY LOUISE FERGUSON
550 MONTAUK HWY
SHIRLEY, NY 11967-2114
Phone number: 631-852-1070
Mailing Address
MARY LOUISE FERGUSON
550 MONTAUK HWY
SHIRLEY, NY 11967-2114
Phone number: 631-852-1070