Individual
LESLIE S GROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 COLES FERRY PIKE, LEBANON, TN 37087-2209
(615) 443-4445
Mailing address
638 WILDWOOD DR, SMYRNA, TN 37167-8241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/02/2012
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