Individual
LESLY GABRIELA ABANTO MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 COMPASS POINT DR, SAINT CHARLES, MO 63301-4404
(844) 853-8937
(660) 885-3690
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(844) 853-8937
(660) 885-3690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110769
CA
1041C0700X
Clinical Social Worker
2024011006
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490143562
—
MO
Enumeration date
05/05/2016
Last updated
12/11/2025
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