Individual
CAROLYN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4136 GRAND AVE, WESTERN SPRINGS, IL 60558-1432
(708) 505-4364
Mailing address
4136 GRAND AVENUE, WESTERN SPRINGS, IL 60558
(708) 505-4364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006087
IL
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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