Individual
KATELYN ANNE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1807
(505) 721-1899
Mailing address
1500 S AVE K, STATION 3, SHROC, PORTALES, NM 88130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
03/22/2019
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