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1194583666
LESLIE SUZANNE DETOTA
WARNER ROBINS, GA
NPI
1194583666
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Former Name
LESLIE SUZANNE PRITCHETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP003705)
Enumeration Date
2024-03-11
Last Update Date
2024-03-11
Business Address
LESLIE SUZANNE DETOTA CCC-SLP
200 S KIMBERLY RD
WARNER ROBINS, GA 31088-8721
Phone number: 478-293-4900
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Mailing Address
LESLIE SUZANNE DETOTA CCC-SLP
117 STEEPLECHASE RUN
WARNER ROBINS, GA 31088-2627
Phone number: 478-957-9003
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