Individual
MRS. LEIGH ANN MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
713 BROADWAY ST STE 301A, PAINTSVILLE, KY 41240-1465
(606) 372-1234
(606) 372-1240
Mailing address
PO BOX 697, PRESTONSBURG, KY 41653-0697
(606) 372-1234
(606) 372-1240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
139717
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100918140
—
KY
Enumeration date
08/01/2023
Last updated
08/25/2023
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