Individual
MRS. LEIGH A. BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
Mailing address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0585
WV
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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