Individual
JENNIFER ELAINE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
151 BEREA MIDDLE SCHOOL RD, GREENVILLE, SC 29617-1220
(864) 355-1777
Mailing address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5963
SC
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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