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Individual
LESLEY NICOLE SUMMERS
Active
Individual
LESLEY NICOLE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, MA, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
SA16358
FL
235Z00000X
Speech-Language Pathologist
Primary
SA16358
FL
Other
Enumeration date
05/15/2019
Last updated
07/07/2021
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