Individual
LEAH POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 HAMPTON AVE, SAINT LOUIS, MO 63139-2379
(601) 479-7198
Mailing address
3250 HAMPTON AVE, SAINT LOUIS, MO 63139-2379
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/12/2018
Last updated
11/15/2022
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