Individual
MRS. KRISTI WILMORE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
1417 LAKE DR, WOODWORTH, LA 71485-7921
(318) 308-2225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8214
LA
Other
Enumeration date
01/16/2007
Last updated
02/18/2026
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