Individual
MS. MARIE G. LESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M./S./CCC-SLP/L
Contact information
Practice address
2386 CLOWER ST, BUILD. E, SUITE 102, SNELLVILLE, GA 30078-6134
(779) 985-9050
(770) 985-9223
Mailing address
1106 MASTERS LN, SNELLVILLE, GA 30078-3583
(770) 736-3404
(770) 736-5693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001135
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00552098B
—
GA
Enumeration date
11/03/2006
Last updated
07/08/2007
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