Individual
MS. ABIGAL CLINTON FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10020 CHURCH ST, TRUCKEE, CA 96161-0219
(415) 917-0536
Mailing address
PO BOX 2581, TRUCKEE, CA 96160-2581
(415) 917-0536
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY24345
CA
Other
Enumeration date
09/06/2007
Last updated
09/19/2018
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