Individual
REBECCA TEDDLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7107 W 12TH ST, LITTLE ROCK, AR 72204-2404
(501) 663-1837
(501) 663-1839
Mailing address
7107 W 12TH ST, LITTLE ROCK, AR 72204-2404
(501) 663-1837
(501) 663-1839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2643-M
AR
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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