Individual
JENNIFER FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
125 KIRKWOOD DR, CLINTON, MS 39056-5971
(601) 250-4815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2819
MS
Other
Enumeration date
04/17/2008
Last updated
01/06/2010
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