Individual
AMY RENEE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2919 W 2ND ST N, WICHITA, KS 67203-5319
(316) 200-2233
Mailing address
12502 SW 36TH ST, HALSTEAD, KS 67056-9386
(316) 200-2233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4362
KS
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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