Individual
KALEN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHC
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 770-7216
Mailing address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 770-7216
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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