Individual
LESLIE A BUCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D (ABD)
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7386
Mailing address
2432 GREENFIELD CT, BELLEVILLE, IL 62221-6812
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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