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Individual

GENA PUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
409R W US HIGHWAY 54, CAMDENTON, MO 65020-6948
(573) 317-9061
Mailing address
409R W US HIGHWAY 54, CAMDENTON, MO 65020-6948
(573) 317-9061

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13532
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18718
MO

Other

Enumeration date
09/12/2022
Last updated
09/05/2025
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