Individual
MRS. LESA MARIE SCHNURBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
498 WOODS MILL RD, MANCHESTER, MO 63011-4144
(636) 391-9966
(636) 394-4678
Mailing address
9200 WATSON RD, SUITE G101, SAINT LOUIS, MO 63126-1528
(314) 367-5500
(314) 843-0552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2009005892
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770818015
—
MO
Enumeration date
10/05/2009
Last updated
11/15/2010
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