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Individual

KATHLEEN PATRICIA FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2323
(619) 232-1360
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2323
(619) 232-1360

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
593
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
593
CA
CA
Enumeration date
10/18/2007
Last updated
10/18/2007
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