Individual
LEAH YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
225 WES PARK DR, PERRY, GA 31069-4829
(478) 987-1610
(973) 965-4580
Mailing address
225 WES PARK DR, PERRY, GA 31069-4829
(478) 987-1610
(973) 965-4580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007595
GA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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