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1013357649
TRACI REID LEAK
WINDER, GA
NPI
1013357649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: GA SLP008211)
Enumeration Date
2013-06-27
Last Update Date
2024-08-10
Business Address
TRACI REID LEAK MS, CCC,SLP
1994 TOWNSHIP DR
WINDER, GA 30680-5633
Phone number: 252-258-6200
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Mailing Address
TRACI REID LEAK MS, CCC,SLP
1994 TOWNSHIP DR
WINDER, GA 30680-5633
Phone number: 252-258-6200
Copy
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