Individual
JULIE EVELYN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COMBS ST APT A, BECKLEY, WV 25801-4403
(304) 574-2100
Mailing address
111 COMBS ST APT A, BECKLEY, WV 25801-4403
(304) 574-2100
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-9101
WV
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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