Individual
MADISON T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 FAYETTE ST, MARTINSVILLE, VA 24112-2620
(276) 352-4465
(276) 293-1212
Mailing address
128 FAYETTE ST, MARTINSVILLE, VA 24112-2620
(276) 352-4465
(276) 293-1212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001243
VA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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