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Individual

MS. ANN LESLIE HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC SLP

Contact information

Practice address
411 NORTH HILL ROAD, BRAXTON COUNTY BOARD OF EDUCATION, SUTTON, WV 26601
(304) 765-7101
(304) 765-7148
Mailing address
PO BOX 117, GASSAWAY, WV 26624
(304) 765-7005

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0177
WV

Other

Enumeration date
04/01/2008
Last updated
04/01/2008
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