Kelly A. Teague LISW

NPI 1023055936 - Social Worker - 1041C0700X

NPI Details
NPI 1023055936
Gender Female
Enumeration Date 05/31/2006
Last Updated 10/05/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6637 HIGHLAND RD
WATERFORD MI, 48327-1675, US
Phone (248) 666-8870
Fax
Business Location
8006 CRESCENT DR
CLARKSTON MI, 48348-3939, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801077026
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According to our database, Kelly A. Teague LISW NPI is 1023055936, taxonomy code is 1041C0700X and license number is 6801077026, license state is located at Michigan. Kelly A. Teague LISW physically located at 6637 Highland Rd, Waterford MI, 48327-1675. NPI Number Kelly A. Teague LISW has the Individual type.

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1023055936 NPI number is provided on an as is basis without warranty of any kind. 1023055936 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly A. Teague LISW are for informational purposes only.