Individual
JENNIFER LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12636 LAMPLIGHTER SQUARE SHPG CTR, SAINT LOUIS, MO 63128-2746
(856) 430-4531
Mailing address
12906 AUTUMN VIEW DR, SAINT LOUIS, MO 63146-4331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2025053733
MO
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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