Individual
BREANNA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7823 OLD STATE ROAD 60, SELLERSBURG, IN 47172-1858
(812) 246-4272
Mailing address
7823 OLD STATE ROAD 60, SELLERSBURG, IN 47172-1858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IN
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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