Individual
MRS. LEIGH ANN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
300 HOSPITAL STREET, MOUTLON, AL 35650
(256) 974-1146
Mailing address
97 COUNTY ROAD 591, TRINITY, AL 35673
(256) 566-1986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3890
AL
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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