Individual
JAIME FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4216 W HORSESHOE DR, MUNCIE, IN 47302-8955
(765) 644-0500
Mailing address
4216 W HORSESHOE DR, MUNCIE, IN 47302-8955
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IN
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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