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Individual

MS. LEESA KAE OLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. ED., CCC-SLP

Contact information

Practice address
176 CARDINAL DR, MORGANTOWN, IN 46160-8776
(812) 597-5194
(812) 597-2571
Mailing address
176 CARDINAL DR, MORGANTOWN, IN 46160-8776
(812) 597-5194
(812) 597-2571

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002175
IN

Other

Enumeration date
01/18/2007
Last updated
07/08/2007
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