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Individual

CARLY LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CF-SLP

Contact information

Practice address
2423 HOOVER AVE, NATIONAL CITY, CA 91950-6619
(619) 824-6123
Mailing address
1416 WHITESTONE RD, SPRING VALLEY, CA 91977-5417
(916) 755-1808

Taxonomy

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

Other

Enumeration date
09/15/2022
Last updated
09/15/2022
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