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1861674103
DIANE LYNN CHARLES
INDIANAPOLIS, IN
NPI
1861674103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 340005409A)
Enumeration Date
2007-11-28
Last Update Date
2007-11-28
Business Address
Ms. DIANE LYNN CHARLES LCSW
6621 W 12TH ST
INDIANAPOLIS, IN 46214-3458
Phone number: 317-243-0489
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Mailing Address
Ms. DIANE LYNN CHARLES LCSW
6621 W 12TH ST
INDIANAPOLIS, IN 46214-3458
Phone number: 317-243-0489
Copy
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