Charles A Light LCSW

NPI 1174701270 - Social Worker - 1041C0700X

NPI Details
NPI 1174701270
Gender Male
Enumeration Date 01/31/2008
Last Updated 03/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
8401 HARCOURT RD
INDIANAPOLIS IN, 46260-2036, US
Phone (317) 338-4600
Fax
Business Location
10330 N MERIDIAN ST
SUITE 201
INDIANAPOLIS IN, 46290-1024, US
Phone
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Indiana
License Number 34001633A
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According to our database, Charles A Light LCSW NPI is 1174701270, taxonomy code is 1041C0700X and license number is 34001633A, license state is located at Indiana. Charles A Light LCSW physically located at 8401 Harcourt Rd, Indianapolis IN, 46260-2036. NPI Number Charles A Light LCSW has the Individual type.

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1174701270 NPI number is provided on an as is basis without warranty of any kind. 1174701270 is maintained by the National Plan & Provider Enumeration System. The contents of Charles A Light LCSW are for informational purposes only.