Individual
KERRY M LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
107 CODERRE RD, ORLEANS, VT 05860-4443
(802) 323-6974
Mailing address
107 CODERRE RD, ORLEANS, VT 05860-4443
(802) 323-6974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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