Individual
GARY ANTLEPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5470 E 16TH ST, INDIANAPOLIS, IN 46218-4861
(317) 355-5394
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002983A
IN
Other
Enumeration date
06/26/2019
Last updated
11/27/2023
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