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1023055936
KELLY A. TEAGUE
WATERFORD, MI
NPI
1023055936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801077026)
Enumeration Date
2006-05-31
Last Update Date
2007-10-05
Business Address
-- KELLY A. TEAGUE LISW
6637 HIGHLAND RD
WATERFORD, MI 48327-1675
Phone number: 248-666-8870
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Mailing Address
-- KELLY A. TEAGUE LISW
8006 CRESCENT DR
CLARKSTON, MI 48348-3939
Phone number:
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