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Individual

LEIGH E CHOATE GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
3760 LAVISTA RD, SUITE 102, TUCKER, GA 30084-5615
(404) 248-0415
(404) 248-0422
Mailing address
3760 LAVISTA RD, SUITE 102, TUCKER, GA 30084-5615
(404) 248-0415
(404) 248-0422

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0006510
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
283948561A
GA
Enumeration date
04/20/2009
Last updated
09/17/2010
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