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Individual
TRACI REID LEAK
Active
Individual
TRACI REID LEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC,SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008211
GA
Other
Enumeration date
06/27/2013
Last updated
08/10/2024
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