Individual
MRS. ELLEN KATHLEEN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
200 GASTON AVENUE, MARION COUNTY BOARD OF EDUCATION, FARIMONT, WV 26554-2778
(910) 583-5581
Mailing address
206 PRAGER PLACE, MORGANTOWN, WV 26508
(910) 583-5581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6601
NC
Other
Enumeration date
02/14/2006
Last updated
08/18/2009
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