Individual
TARA LYNN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 PLEASANT AVE, WELLSBURG, WV 26070-1344
(304) 737-3481
(304) 737-3480
Mailing address
1201 PLEASANT AVE, WELLSBURG, WV 26070-1344
(304) 737-3481
(304) 737-3480
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7446
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374U00000X
HOME HEALTH AIDE
WV
05
—
7402122000
—
WV
Enumeration date
11/28/2007
Last updated
10/25/2024
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