Individual
ASHLEY LAINE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 PELICAN DR APT 7, PARK HILLS, MO 63601-1964
(573) 854-9246
Mailing address
103 PELICAN DR APT 7, PARK HILLS, MO 63601-1964
(573) 854-9246
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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