Individual
CHRISTINA VICTORIA TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
146 FORTUNE LOOP, PINEVILLE, LA 71360-9749
(318) 282-5885
Mailing address
146 FORTUNE LOOP, PINEVILLE, LA 71360-9749
(318) 282-5885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7883
LA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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