KIM FERGUSON

BAKER, LA
NPI1043691470
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2015-06-11
Last Update Date2018-07-30
Business Address
KIM FERGUSON MA
4425 GROOM RD
BAKER, LA 70714
Phone number: 225-767-5699
Mailing Address
KIM FERGUSON MA
4425 GROOM RD
BAKER, LA 70714-3046
Phone number: 225-757-5699