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Individual
MRS. ANGEL FERGUSON
Active
Individual
MRS. ANGEL FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006184
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216118118E
—
GA
Enumeration date
06/11/2007
Last updated
03/01/2017
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