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1508683038
DOMINICK I PUGH
INDEPENDENCE, MO
NPI
1508683038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2024024889)
Enumeration Date
2024-09-25
Last Update Date
2024-09-25
Business Address
DOMINICK I PUGH LMSW
17844 E 23RD ST S
INDEPENDENCE, MO 64057-1840
Phone number: 816-254-3652
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Mailing Address
DOMINICK I PUGH LMSW
PO BOX 844715
KANSAS CITY, MO 64184-4715
Phone number: 417-761-5214
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