Individual
HEATHER FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
315 E DUNKLIN ST, JEFFERSON CITY, MO 65101-3128
(573) 659-3000
Mailing address
315 E DUNKLIN ST, JEFFERSON CITY, MO 65101-3128
(573) 659-3000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
MO
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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