Individual
MR. HARVEY PHILLIP JEFFERSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5304 SANDWOOD DR, INDIANAPOLIS, IN 46235-9782
(317) 828-0573
(317) 000-0000
Mailing address
5304 SANDWOOD DR, INDIANAPOLIS, IN 46235-9782
(317) 828-0573
(317) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104100000X
IN
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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