GABRIELLE FERGUSON

TUCKER, GA
NPI1255878682
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP009191)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: TX  113232)
Enumeration Date2017-01-24
Last Update Date2019-09-04
Business Address
GABRIELLE FERGUSON
3888 LAVISTA RD
TUCKER, GA 30084-5142
Phone number: 866-991-0900
Mailing Address
GABRIELLE FERGUSON
3888 LAVISTA RD
TUCKER, GA 30084-5142
Phone number: 770-938-5740