Kelly A. Teague is a Clinical in Waterford, Michigan. Kelly A. Teague practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly A. Teague is 1023055936. The last update date is 2007-10-05.
Kelly A. Teague's current location address is 6637 Highland Rd, Waterford, Michigan. You can contact this provider via phone number 2486668870. The mailing address for Kelly A. Teague is 6637 Highland Rd, Waterford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A. Teague |
|---|---|
| Address | 6637 Highland Rd, Waterford, Michigan |
| Phone Number | 2486668870 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1023055936 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 6637 Highland Rd |
|---|---|
| City | Waterford |
| State | Michigan (MI) |
| Post Code | 483271675 |
| Phone Number | 2486668870 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801077026 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identification code issued to Kelly A. Teague by the Centers for Medicare & Medicaid Services?
The Kelly A. Teague has been assigned the NPI (National Provider Identifier) 1023055936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Kelly A. Teague?
The Kelly A. Teague is situated at 6637 Highland Rd, in the city of Waterford, state of MI, with the zip code 483271675.
What is Kelly A. Teague's area of expertise and its corresponding taxonomy classification?
The Kelly A. Teague's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Kelly A. Teague receive its 1023055936?
The Kelly A. Teague was issued its 1023055936 on 2006-05-31, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kelly A. Teague most recently updated or revised?
The information pertaining to Kelly A. Teague, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-05.
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