Individual
AUTUMN BRIANNE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 FM 2821 RD E, HUNTSVILLE, TX 77320-9298
(936) 526-1857
Mailing address
272 WINDY LN, LUFKIN, TX 75904-5050
(936) 526-1857
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42683
TX
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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