Individual
MRS. CRYSTAL LEA PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 E SHAWNTEL SMITH BLVD, SUITE 4, MULDROW, OK 74948-4823
(479) 926-6912
Mailing address
12805 LIMESTONE DR, FORT SMITH, AR 72916-4153
(479) 926-6912
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
07/10/2013
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