Individual
MRS. LESLIE GOTTLIEB JOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
7350 TALBOT COLONY NE, ATLANTA, GA 30328-1625
(404) 822-7373
Mailing address
7350 TALBOT COLONY NE, ATLANTA, GA 30328-1625
(404) 822-7373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5463
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167194116A
—
GA
Enumeration date
01/04/2007
Last updated
02/16/2009
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