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Individual

MRS. VILENCIA LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A./M.A. SLT

Contact information

Practice address
421 W FIVE NOTCH RD, NORTH AUGUSTA, SC 29841-9349
(803) 442-6090
(803) 442-6092
Mailing address
421 W FIVE NOTCH RD, NORTH AUGUSTA, SC 29841-9349
(803) 442-6090

Taxonomy

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

Other

Enumeration date
12/18/2013
Last updated
12/18/2013
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