| NPI | 1972560357 |
|---|---|
| Former Name | DEBRA SUE TEADT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801032927) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801032927) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2025-02-25 |