Individual
CARLY MARIE LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
418 RAILROAD ST STE 102, DANVILLE, PA 17821-1547
(330) 536-3042
Mailing address
472 AVENUE D, DANVILLE, PA 17821-7629
(570) 447-1216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015144
PA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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