Grace Kathleen Ferguson

NPI #1053003772 in Fairview Heights, Illinois

Provider Information

NPI Number
1053003772
Entity Type
Individual
Name
Grace Kathleen Ferguson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
May 22, 2023
Last Updated
May 22, 2023

Practice Location

Address
343 FOUNTAINS PKWY UNIT 201
ZIP Code
62208-2170
Phone
(618) 515-1441

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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