Individual
MRS. HEATHER ANN TEADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
Mailing address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801105551
MI
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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