Individual
MRS. VANESSA E COLEMAN-LEBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
2329 HERTFORD DR, COLUMBIA, SC 29210-6220
(803) 429-2391
(803) 750-5237
Mailing address
2329 HERTFORD DR, COLUMBIA, SC 29210-6220
(803) 429-2391
(803) 750-5237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1038
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAO523
—
SC
Enumeration date
05/18/2007
Last updated
07/08/2007
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