Individual
TEAGUE DUNCAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3305 E NIGHTHAWK WAY, PHOENIX, AZ 85048
(602) 316-3239
Mailing address
3305 E NIGHTHAWK WAY, PHOENIX, AZ 85048-7802
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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