Individual
LEON CLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Mailing address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2011014224
MO
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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