Individual
MAKAYLA TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S WALDRON RD STE 107, FORT SMITH, AR 72903-2568
(479) 226-3409
Mailing address
4300 ROGERS AVE STE 20, FORT SMITH, AR 72903-3152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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