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Individual

MS. LEATRICE BURGESS-LESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
900 N AVALON ST, MEMPHIS, TN 38107-5007
(901) 299-9983
Mailing address
900 N AVALON ST, MEMPHIS, TN 38107-5007
(901) 299-9983

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
S3632
MS
235Z00000X
Speech-Language Pathologist
Primary
SP0000000647
TN

Other

Enumeration date
02/17/2012
Last updated
02/17/2012
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