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Individual

MS. CARMIE A LEISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
205 LAKEMONT DR, ROSWELL, GA 30075-3203
(404) 547-0825
(770) 783-6618
Mailing address
3162 JOHNSON FERRY RD, SUITE 260 #325, MARIETTA, GA 30062-7604
(404) 547-0825
(770) 783-6618

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005597
GA

Other

Enumeration date
05/09/2007
Last updated
03/09/2011
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