Individual
SUSAN E TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3015 E SKELLY DR, SUITE 390, TULSA, OK 74105-6317
(918) 665-0208
(918) 665-0216
Mailing address
20151 E 106TH ST N, CLAREMORE, OK 74019-5701
(918) 688-4991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3285
OK
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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