Individual
MOLLIE F TEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPE
Contact information
Practice address
1422 CALDWELL ST STE M, CONWAY, AR 72034-5319
(501) 358-6396
(501) 588-0484
Mailing address
317 OAK ST STE 3, CONWAY, AR 72032-5679
(501) 358-6396
(501) 588-0484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
05-10E
AR
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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