Individual
MISS DALORIA TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4037 E INDEPENDENCE BLVD BLDG SUITE100, CHARLOTTE, NC 28205-3260
(704) 523-5775
Mailing address
PO BOX 5054, CHARLOTTE, NC 28299-5054
(704) 819-9312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
12/05/2024
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