Individual
MRS. KATHLEEN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
11240 WAPLES MILL ROAD, SUITE 202, OAKTON, VA 22124
(703) 237-2219
Mailing address
11440 NORWEGIAN MILL CT., OAKTON, VA 22124
(703) 628-8580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000887
VA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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