Individual
LESLEY SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 LAKE DR, AMORY, MS 38821-1318
(662) 315-4915
Mailing address
1207 LAKE DR, AMORY, MS 38821-1318
(662) 315-4915
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
322799
MS
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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