Individual
HAILEY R FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
Mailing address
5045 S 30TH WEST AVE, TULSA, OK 74107-7529
(816) 797-0887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7786
OK
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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