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Individual

MR. KEVIN FERGUSON II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8023 W PARKWAY BLVD, 10-305, TULSA, OK 74127-5665
(918) 932-6347
Mailing address
8023 W. PARKWAY BLVD, 10-305, TULSA, OK 74127
(918) 932-6347

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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