Individual
CHERYL TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
4001 W CAPITOL DR, MILWAUKEE, WI 53216-2530
(414) 455-3879
Mailing address
4869 N 54TH ST, MILWAUKEE, WI 53218-4202
(414) 429-8651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4093226
WI
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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