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Individual

AIESHA DAWNN LEATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2415 SUNNYFIELD CT, HILLSBOROUGH, NC 27278-9380
(919) 240-5437
Mailing address
206 BALL PARK AVE, ELON, NC 27244-9209
(336) 512-0776

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8330
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7413059
NC
Enumeration date
03/10/2021
Last updated
03/10/2021
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