Individual
KAILEIGH LEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 LEDGEWOOD RD APT 302, GROTON, CT 06340-6609
(860) 287-1375
Mailing address
108 POLO HILL RD, COLUMBIA, SC 29223
(860) 287-1375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
004979
CT
235Z00000X
Speech-Language Pathologist
Primary
6229
SC
Other
Enumeration date
06/18/2015
Last updated
08/02/2017
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