Individual
MADELINE LEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8780 BIG BEND BLVD, SAINT LOUIS, MO 63119-3779
(314) 884-1511
Mailing address
PO BOX 63096, SAINT LOUIS, MO 63163-3096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/02/2018
Last updated
11/14/2020
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