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1811482920
LESLIE MATHIS
DOTHAN, AL
NPI
1811482920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AL 4004)
Enumeration Date
2018-06-30
Last Update Date
2018-06-30
Business Address
LESLIE MATHIS CCC-SLP
100 WESTSIDE DR
DOTHAN, AL 36303-1908
Phone number: 334-793-2237
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Mailing Address
LESLIE MATHIS CCC-SLP
115 WATKINS DR
DOTHAN, AL 36301-5431
Phone number: 334-701-0110
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