Individual
LEANNE FOSTER-ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8075 MALL PKWY, STE 101-334, LITHONIA, GA 30038-6993
(678) 508-1935
(770) 323-2804
Mailing address
8075 MALL PKWY, STE 101-334, LITHONIA, GA 30038-6993
(678) 508-1935
(770) 323-2804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLP011344
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743527131A
—
GA
Enumeration date
05/21/2012
Last updated
02/11/2021
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