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Individual
MALVA TEAGUE-SMITH
Active
Individual
MALVA TEAGUE-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9525
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00079B
BLUE CROSS BLUE SHIELD
TX
01
—
COMPCARE
TEAGU-0006
TX
Enumeration date
08/09/2006
Last updated
07/09/2007
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