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Organization

SELF EMPLOYED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LEZLI R CARSON M.A., CCC-SLP, M.ED. (SPEECH-LANGUAGE PATHOLOGIST,)
(913) 484-7194
Entity
Organization

Contact information

Practice address
11608 W 101ST TER, OVERLAND PARK, KS 66214-2710
(913) 484-7194
Mailing address
11608 W 101ST TER, OVERLAND PARK, KS 66214-2710
(913) 484-7194

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2319
KS

Other

Enumeration date
01/03/2015
Last updated
01/03/2015
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