Individual
LEE ANNE TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, NHA
Contact information
Practice address
207 N BREWER ST, PARIS, TN 38242-4027
(731) 393-0136
(731) 393-0158
Mailing address
20 MCCAIN AVE, MC KENZIE, TN 38201-2439
(731) 393-0136
(731) 393-0158
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
L4392
TN
374U00000X
Home Health Aide
Primary
L4392
TN
376J00000X
Homemaker
L4392
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445210
—
TN
Enumeration date
10/06/2009
Last updated
03/10/2021
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