Individual
MISS DENISE KIRK LEASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC.SLP
Contact information
Practice address
769 CLEARVIEW DR, CHARLESTON, SC 29412-4545
(843) 442-1052
Mailing address
769 CLEARVIEW DR, CHARLESTON, SC 29412-4545
(843) 442-1052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2955
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAO275
—
SC
Enumeration date
01/18/2007
Last updated
03/19/2009
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