Individual
KATHLEEN MARIE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
14503 HOUGHTON ST, CHESTERFIELD, VA 23832-2487
(804) 543-4060
Mailing address
14503 HOUGHTON ST, CHESTERFIELD, VA 23832-2487
(804) 543-4060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000992
VA
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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