Individual
ANITA SUE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7025 57TH ST, VERO BEACH, FL 32967-5848
(772) 713-9699
Mailing address
7025 57TH ST, VERO BEACH, FL 32967-5848
(772) 713-9699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9838
FL
Other
Enumeration date
05/04/2018
Last updated
06/16/2018
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