Individual
MS. CRYSTAL MARIE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
202 E BAGLEY RD, BEREA, OH 44017-2058
(216) 570-3293
Mailing address
3475 E 125TH ST, CLEVELAND, OH 44120-4321
(216) 849-0532
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S0024603
OH
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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