Individual
LACHARY ANN TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 618, STARKVILLE, MS 39760-0618
(662) 739-0765
Mailing address
105 CAVALIER DR, KOSCIUSKO, MS 39090-4401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C11794
MS
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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