Individual
LESLIE NICOLE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
881 KY ROUTE 689 E, FLATGAP, KY 41219-9546
(606) 265-8891
(606) 265-4409
Mailing address
881 KY ROUTE 689 E, FLATGAP, KY 41219-9546
(606) 265-8891
(606) 265-4409
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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