Individual
MISS CYNTHIA ANN TEAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
8 JOHNSON RD, HAMPTON, VA 23664-2125
(757) 848-1158
Mailing address
8 JOHNSON RD, HAMPTON, VA 23664-2125
(757) 848-1158
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007761
VA
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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