Individual
AMANDA S FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 792-2579
Mailing address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 792-2579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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