Individual
ADDISON LEA MATTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 MCKINLEY CT SE, CARTERSVILLE, GA 30121-5595
(770) 365-5257
Mailing address
8 MCKINLEY CT SE, CARTERSVILLE, GA 30121-5595
(770) 365-5257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP011619
GA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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