Individual
MR. CHARLES RAYMOND LEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3833 N MERIDIAN ST, SUITE 120, INDIANAPOLIS, IN 46208-4039
(317) 927-6440
(317) 927-6447
Mailing address
1249 LANDSBROOK DR, INDIANAPOLIS, IN 46260-3576
(317) 722-0368
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2327
OR
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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