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Individual
SANDRA D FERGUSON
Active
Individual
SANDRA D FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067483
BCBS BLUE LINK #
TX
01
—
89519T
BCBS PPN #
TX
Enumeration date
08/17/2006
Last updated
07/09/2007
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