Provider First Line Business Practice Location Address:
TEAKWOOD PSYCHOLOGICAL RESOURCES
Provider Second Line Business Practice Location Address:
2201 W. 25TH STREET, SUITE O
Provider Business Practice Location Address City Name:
LAWRENCE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-841-6446
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2006