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1508160888
JASON INDENBAUM
CHARLOTTE, NC
NPI
1508160888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2010-12-31
Last Update Date
2017-06-22
Business Address
-- JASON INDENBAUM
6220 THERMAL RD
CHARLOTTE, NC 28211-5630
Phone number: 704-366-8712
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Mailing Address
-- JASON INDENBAUM
6220 THERMAL RD
CHARLOTTE, NC 28211-5630
Phone number: 704-366-8712
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