Individual
ALICE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3857
(757) 866-2715
Mailing address
4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3857
(757) 866-2715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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