Individual
LEANN DAVIS STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.CCCSLP
Contact information
Practice address
101 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 30474-8845
(912) 277-2044
Mailing address
231 STANLEY RETREAT DR, LYONS, GA 30436-2749
(912) 565-0700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005486
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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