Individual
DR. TARA M. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5004 OLEANDER DR, WILMINGTON, NC 28403-7015
(910) 805-3216
Mailing address
5004 OLEANDER DR, WILMINGTON, NC 28403-7015
(910) 805-3216
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3945
NC
Other
Enumeration date
06/08/2009
Last updated
05/03/2018
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