Leslie Nicole Ferguson
Developmental Therapist in Flatgap, KY. Individual provider (NPI-1).
NPI number1124536719
StatusActive
Last updated in NPPESJan 17, 2018
Details
- NPI
- 1124536719
- Entity type
- Individual (NPI-1)
- Name
- Leslie Nicole Ferguson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2018
- Last updated
- Jan 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
881 Ky Route 689 EFlatgap, KY 41219-9546
Phone 606-265-8891 · Fax 606-265-4409
Mailing address
881 Ky Route 689 EFlatgap, KY 41219-9546
Phone 606-265-8891 · Fax 606-265-4409
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