Individual
LESLIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2070 NORTHBROOK BLVD STE A14, NORTH CHARLESTON, SC 29406-9284
(843) 569-3033
Mailing address
1306 COASTAL MARSH RD, MOUNT PLEASANT, SC 29464-7919
(573) 517-3053
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5437
SC
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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