Individual
LELAND C STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-7740
Mailing address
6950 HILLSDALE CT, INDIANAPOLIS, IN 46250-2040
(317) 621-7740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003122A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530A
—
IN
Enumeration date
05/01/2007
Last updated
11/18/2013
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