Individual
MRS. LESLEY JOY POBLETE-CREECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1738 BLUE OAK DR, CHESTERFIELD, MO 63017-4600
(314) 363-3124
Mailing address
1738 BLUE OAK DR, CHESTERFIELD, MO 63017-4600
(314) 363-3124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021015968
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43-0681471
INDIVIDUAL PROVIDER
MO
Enumeration date
09/11/2007
Last updated
10/05/2023
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