CHASE KENNETH JENNETTE

INDIANAPOLIS, IN
NPI1093116469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34009335A)
Enumeration Date2014-09-04
Last Update Date2021-10-19
Business Address
CHASE KENNETH JENNETTE LCSW
4523 OZARK LN
INDIANAPOLIS, IN 46239-6916
Phone number: 702-776-0052
Mailing Address
CHASE KENNETH JENNETTE LCSW
4523 OZARK LN
INDIANAPOLIS, IN 46239-6916
Phone number: 702-776-0052
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