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Individual

SHELBY BLOSSOM-FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 755-6601
Mailing address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 755-6601

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200147
AR

Other

Enumeration date
06/18/2018
Last updated
06/18/2018
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