Individual
MRS. SARA PEUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LISW
Contact information
Practice address
3615 SR 528, STE 201, ALBUQUERQUE, NM 87114
(505) 899-2911
(505) 898-1173
Mailing address
PO BOX 44970, RIO RANCHO, NM 87174
(505) 899-2911
(505) 898-1173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I0144
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R599
BLUE CROSS BS
NM
Enumeration date
09/07/2006
Last updated
07/08/2007
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