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General NPI Number Information
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NPI Number | 1346480845
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Entity Type | Organization
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Legal Business Name | LESLIE WEINSTEIN, MA, MSW, LLC
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 121 HUNTER AVE SUITE 201
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City | SAINT LOUIS
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State | MO
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Zip | 63124-2000
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Country | US
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Telephone | 314-725-4511
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Fax | 314-725-8741
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Provider Business Mailing Address
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Address Line | 121 HUNTER AVE SUITE 201
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City | SAINT LOUIS
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State | MO
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Zip | 63124-2000
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Country | US
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Telephone | 314-725-4511
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Fax | 314-725-8741
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MS. LESLIE D. WEINSTEIN
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Credential | LCSW
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Telephone | 314-725-4511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2007007564
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License Number State | MO
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