STEPHENIE TEAGUE

CARBONDALE, IL
NPI1326407974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: IL  150.105200)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2016-02-10
Last Update Date2022-06-02
Business Address
STEPHENIE TEAGUE
1080 E PARK ST
CARBONDALE, IL 62901-3812
Phone number: 916-690-0558
Mailing Address
STEPHENIE TEAGUE
501 DEER TRL
CARBONDALE, IL 62901-5246
Phone number: 916-690-0558
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