Individual
LEIGH ELLEN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
604 WASHINGTON ST NW STE B2, GAINESVILLE, GA 30501-8545
(770) 534-5141
Mailing address
701 NORTH AVE, WINDER, GA 30680-1558
(678) 227-1664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005281
GA
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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