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Individual

GARY LABITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 997-6089
Mailing address
777 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1420

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34009402A
IN

Other

Enumeration date
09/07/2021
Last updated
09/07/2021
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