Individual
BETH ANN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSOE
Contact information
Practice address
317 N HUDSON ST, ALTUS, OK 73521-3709
(580) 482-2809
(580) 482-2820
Mailing address
1801 CRAIN DR, ALTUS, OK 73521-1807
(580) 471-5808
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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