Individual
LEIGH CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 BOMBAY LN, ROSWELL, GA 30076-5820
(404) 345-5995
Mailing address
1004 BOMBAY LN, ROSWELL, GA 30076-5820
(404) 345-5995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
-SLP009147
GA
Other
Enumeration date
12/07/2016
Last updated
04/12/2017
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