Most Relevant Information
Provider Data
| NPI Number: | 1003668278 |
| Provider Name: | LINDA GUILLARD PUGH PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC014603 |
Most Important Dates
| Enumeration Date: | 04/02/2024 |
| Last Updated: | 04/02/2024 |
Provider Practice Location
100 GLENDALOUGH CT STE E
TYRONE
GA
302902942
Practice Location Phone/Fax
| Phone: | 7706839375 |
| Fax: | 6788682354 |
Provider Mailing Location
100 GLENDALOUGH CT STE E
TYRONE
GA
302902942
Provider Mailing Phone/Fax
| Phone: | 7706839375 |
| Fax: |