# MARY TEAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639438369
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 205033 | TX | — |
| 106H00000X | Marriage & Family Therapist | 2157 | OK | Yes |
| 106H00000X | Marriage & Family Therapist | 35002261A | IN | — |
| 106H00000X | Marriage & Family Therapist | 4101006930 | MI | — |

## Other

- **Enumeration date:** 05/15/2012
- **Last updated:** 01/28/2024