Individual
MARK PUGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
5608 ZUNI RD SE, FIRST NATIONS, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
Mailing address
5608 ZUNI RD SE, MSC09 5030, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
I-05553
NM
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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