Individual
MOLLY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1779 W BIG BEAVER RD, TROY, MI 48084-3510
(810) 406-5789
Mailing address
3014 HURON CT APT 101, LAKE ORION, MI 48360-2388
(810) 406-5789
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002157
MI
Other
Enumeration date
08/21/2023
Last updated
08/27/2023
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