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1336689207
LEAH BLACK
SAINT LOUIS, MO
NPI
1336689207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2014012995)
Enumeration Date
2017-02-27
Last Update Date
2017-02-27
Business Address
-- LEAH BLACK
11 KINGS CROSSING CT
SAINT LOUIS, MO 63129-5064
Phone number: 618-530-2395
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Mailing Address
-- LEAH BLACK
11 KINGS CROSSING COURT
ST. LOUIS, MO 63129
Phone number: 618-530-2395
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