Individual
RANDALL BLAKE STUFFLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1700 N ILLINOIS ST, INDIANAPOLIS, IN 46202-1316
(317) 554-5700
(317) 931-5109
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34006335A
IN
Other
Enumeration date
09/26/2011
Last updated
09/30/2025
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