Individual
TAYLOR FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
348 MIRACLE STRIP PKWY SW, SUITE B-3, FORT WALTON BEACH, FL 32548-5200
(850) 862-3772
Mailing address
895 SOLIMAR WAY, NONE, MARY ESTHER, FL 32569-1421
(850) 226-1246
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3055
FL
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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