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Individual

ALLISON MARIE FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC/SLP

Contact information

Practice address
1630 RUSSELL AVE, LOUISVILLE, KY 40213-1542
(502) 409-1007
Mailing address
1630 RUSSELL AVE, LOUISVILLE, KY 40213-1542
(502) 409-1007

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
240563
KY

Other

Enumeration date
01/10/2022
Last updated
01/10/2022
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