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1043631005
LESLIE LONG
GREENEVILLE, TN
NPI
1043631005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN 2404)
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
-- LESLIE LONG SLP-CCC
129 W DEPOT ST
GREENEVILLE, TN 37743-1102
Phone number: 423-622-1551
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Mailing Address
-- LESLIE LONG SLP-CCC
PO BOX 8114
CHATTANOOGA, TN 37414-0114
Phone number: 423-622-1551
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