Individual
KARA CHANTAL LEYZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, PHD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1601000659
MI
231H00000X
Audiologist
Primary
4135
SC
231H00000X
Audiologist
A.01754
OH
Other
Enumeration date
07/26/2010
Last updated
03/19/2020
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