Individual
MYKIA LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
744 MARKHAM CIR, MOORE, SC 29369-8974
(864) 999-6176
Mailing address
744 MARKHAM CIR, MOORE, SC 29369-8974
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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