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LESLIE NICOLE FERGUSON

>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1124536719

Individual Registrant:
 LESLIE NICOLE FERGUSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
881 KY ROUTE 689 E  FLATGAP, KY 41219-9546 US
Tel: 606-265-8891  Fax: 606-265-4409

Contact information for business:
881 KY ROUTE 689 E  FLATGAP, KY 41219-9546 US
Tel: 606-265-8891  Fax: 606-265-4409

Registration Information:
NPI: 1124536719
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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