Individual
TERRI PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
120 NOVEMBER DR, CAMP HILL, PA 17011-5046
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139518
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW139518
STATE BOARD OF SOCIAL WORKERS
PA
Enumeration date
02/28/2023
Last updated
02/28/2023
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