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Individual

LEIGH BLACKBURN

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
601 N BELAIR SQ STE 19, EVANS, GA 30809-4324
(706) 364-1486
(706) 364-1487
Mailing address
3752 ROSCOMMON S, MARTINEZ, GA 30907-4742
(706) 364-1486
(706) 364-1487

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006107
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
238975068A
GA
Enumeration date
12/20/2006
Last updated
10/16/2008
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