Individual
LESLIE SAMUELITA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
140 CARRIAGE CLUB DR, MOORESVILLE, NC 28117-9284
(704) 658-1200
(704) 662-8509
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8702
NC
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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