Individual
DANELL PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 1657, FORT CARSON, CO 80913
(719) 322-6439
Mailing address
4519 FENCER RD, COLORADO SPRINGS, CO 80911-3619
(719) 322-6439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-2251
HI
104100000X
Social Worker
LSW.0009920785
CO
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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