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Individual

NANCY K LEROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC SLP

Contact information

Practice address
187 GALLAHER RD, KINGSTON, TN 37763-4721
(423) 376-4620
(423) 376-1759
Mailing address
187 GALLAHER RD, KINGSTON, TN 37763-4721
(423) 376-4620
(423) 376-1759

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2340
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5440772
TN
Enumeration date
08/31/2006
Last updated
07/08/2007
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