Individual
MRS. COLLEEN P TEYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCSW
Contact information
Practice address
800 E BLACKHAWK AVE, PRAIRIE DU CHIEN, WI 53821
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7617-123
WI
Other
Enumeration date
07/28/2011
Last updated
09/15/2020
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