Individual
AMANDA GREY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1735 SHERIDAN AVE, SUITE # 236, CODY, WY 82414-3855
(307) 586-7260
(307) 222-0614
Mailing address
PO BOX 1642, EVANSTON, WY 82931-1642
(307) 789-0664
(307) 222-0614
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/23/2015
Last updated
03/10/2017
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