KELLY A. TEAGUE

WATERFORD, MI
NPI1023055936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801077026)
Enumeration Date2006-05-31
Last Update Date2007-10-05
Business Address
-- KELLY A. TEAGUE LISW
6637 HIGHLAND RD
WATERFORD, MI 48327-1675
Phone number: 248-666-8870
Mailing Address
-- KELLY A. TEAGUE LISW
8006 CRESCENT DR
CLARKSTON, MI 48348-3939
Phone number: