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Individual

HATTIE ELAINE LEADBITTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC/SLP

Contact information

Practice address
208 SUMMIT TOWNES WAY, COLUMBIA, SC 29229-7720
(803) 917-2513
Mailing address
208 SUMMIT TOWNES WAY, COLUMBIA, SC 29229-7720
(803) 917-2513

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104892
TX
235Z00000X
Speech-Language Pathologist
Primary
3145
SC

Other

Enumeration date
04/20/2011
Last updated
04/20/2011
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