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1417174236
CHRISTOPHER K. COUNTRYMAN
INDIANAPOLIS, IN
NPI
1417174236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004533A)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
Mr. CHRISTOPHER K. COUNTRYMAN LCSW
5886 CENTRAL AVE.
INDIANAPOLIS, IN 46220
Phone number: 317-414-1296
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Mailing Address
Mr. CHRISTOPHER K. COUNTRYMAN LCSW
4342 N. PARK AVE.
INDIANAPOLIS, IN 46205
Phone number: 317-414-1296
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