Individual
LESLEY KATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 WOODFIELD DR, MACON, GA 31210-5625
(478) 475-7988
(478) 475-7974
Mailing address
110 WOODFIELD DR, MACON, GA 31210-5625
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001887
GA
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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