LESLIE LONG

GREENEVILLE, TN
NPI1043631005
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TN  2404)
Enumeration Date2013-12-18
Last Update Date2013-12-18
Business Address
-- LESLIE LONG SLP-CCC
129 W DEPOT ST
GREENEVILLE, TN 37743-1102
Phone number: 423-622-1551
Mailing Address
-- LESLIE LONG SLP-CCC
PO BOX 8114
CHATTANOOGA, TN 37414-0114
Phone number: 423-622-1551