Individual
MARGARET A FURGASON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
300 S CLINTON ST, LEITCHFIELD, KY 42754-1492
(270) 259-4652
(270) 259-6655
Mailing address
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701-3650
(270) 765-2605
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0558
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11574915
CAQH
—
05
—
30605018
—
KY
Enumeration date
06/10/2006
Last updated
07/08/2007
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