Individual
MS. LESLIE DIANNE WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 HUNTER AVE STE 201, SAINT LOUIS, MO 63124-2083
(314) 725-4511
(314) 725-8741
Mailing address
121 HUNTER AVE STE 201, SAINT LOUIS, MO 63124-2083
(314) 725-4511
(314) 725-8741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2007007564
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007007564
DEPARTMENT OF INSURANCE, FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION
MO
Enumeration date
12/23/2008
Last updated
12/23/2008
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