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1164589248
TANITA M TEAGLE
VILLA RICA, GA
NPI
1164589248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW003512)
Enumeration Date
2007-01-02
Last Update Date
2011-12-09
Business Address
Mrs. TANITA M TEAGLE LCSW
60 ALLOWAY DR
VILLA RICA, GA 30180-3818
Phone number: 404-210-5546
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Mailing Address
Mrs. TANITA M TEAGLE LCSW
60 ALLOWAY DR
VILLA RICA, GA 30180-3818
Phone number: 404-210-5546
Copy
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