Individual
MRS. LETICIA D PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S CCC-SLP
Contact information
Practice address
4002 HIGHWAY 78 W, SUITE 530-217, SNELLVILLE, GA 30039-7915
(404) 931-3901
Mailing address
4002 HIGHWAY 78 W, SUITE 530-217, SNELLVILLE, GA 30039-7915
(404) 931-3901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003935
GA
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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