Organization
ADVANTAGE SPEECH THERAPY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAILEY JO LEACH MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(952) 215-2530
Entity
Organization
Contact information
Practice address
17835 179TH TRL W, LAKEVILLE, MN 55044-5207
(952) 435-1999
Mailing address
17835 179TH TRL W, LAKEVILLE, MN 55044-5207
(952) 215-2530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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