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1205918000
CHARLES RAYMOND LEITNER
INDIANAPOLIS, IN
NPI
1205918000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L2327)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
Mr. CHARLES RAYMOND LEITNER LCSW
3833 N MERIDIAN ST SUITE 120
INDIANAPOLIS, IN 46208-4039
Phone number: 317-927-6440
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Mailing Address
Mr. CHARLES RAYMOND LEITNER LCSW
1249 LANDSBROOK DR
INDIANAPOLIS, IN 46260-3576
Phone number: 317-722-0368
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