Individual
NICOLE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W MOCKINGBIRD LN, DALLAS, TX 75247-5028
(972) 489-5552
Mailing address
990 SINGLETON BLVD APT 1307, DALLAS, TX 75212-5254
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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