KELLY FERGUSON

VIRGINIA BEACH, VA
NPI1407073331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: VA  2202005179)
Enumeration Date2007-04-20
Last Update Date2007-07-08
Business Address
-- KELLY FERGUSON
4560 SOUTH BLVD
VIRGINIA BEACH, VA 23452-1160
Phone number: 757-490-3223
Mailing Address
-- KELLY FERGUSON
5903 WILLOW OAKS DR
RICHMOND, VA 23225-2432
Phone number: