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Individual

KATHLEEN LEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-A

Contact information

Practice address
1199 HALEY CENTER, AUBURN, AL 36849-1931
(344) 844-9600
(334) 844-9684
Mailing address
1199 HALEY CENTER, AUBURN, AL 36849-0001
(334) 844-9600
(334) 844-9684

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003628
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
737441936A
GA
Enumeration date
10/11/2006
Last updated
02/06/2023
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