Individual
MRS. ANNETTE FEARON TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3270 SUNTREE BLVD # S-100, MELBOURNE, FL 32940-7530
(321) 634-6047
(321) 752-3179
Mailing address
3270 SUNTREE BLVD # S-100, MELBOURNE, FL 32940-7530
(321) 634-6047
(321) 752-3179
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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