Individual
SUSAN R TEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 S BELTLINE HWY W, SCOTTSBLUFF, NE 69361-1337
(308) 632-4412
(308) 632-2326
Mailing address
410 S BELTLINE HWY W, SCOTTSBLUFF, NE 69361-1337
(308) 632-4412
(308) 632-2326
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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