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1679595813
ALLEN L TEAGUE
CONWAY, SC
NPI
1679595813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: SC 3657)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- ALLEN L TEAGUE MA
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
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Mailing Address
-- ALLEN L TEAGUE MA
5355 RED BLUFF RD
LORIS, SC 29569-6315
Phone number: 843-997-8350
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