Organization
CROSSROADS TO WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE PUGH LCSW (OWNER)
(801) 888-5639
Entity
Organization
Contact information
Practice address
1220 N MAIN ST, SUITE 11, SPRINGVILLE, UT 84663-4013
(801) 888-5639
Mailing address
834 N 600 E, SPRINGVILLE, UT 84663-3105
(801) 888-5639
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8273383-3501
UT
Other
Enumeration date
04/06/2016
Last updated
10/20/2016
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