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Individual

MS. GRAYSON SPENCER LESLIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
120 HIGHLAND CENTER DR STE 107, COLUMBIA, SC 29203-9128
(803) 490-0960
Mailing address
120 HIGHLAND CENTER DR STE 107, COLUMBIA, SC 29203-9128

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9562
SC

Other

Enumeration date
03/04/2026
Last updated
03/04/2026
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