Provider Information for 1316357205
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CHRISTINE DEHART LCSW
Sex: Female
NPI: 1316357205
Last Updated: 2014-09-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1316357205 | ||||||||
| Enumeration Date | 2014-05-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 9615 E 148TH ST SUITE 1 NOBLESVILLE, IN 46060-4360 United States Phone: 317-574-1254 | Fax:317-674-0060 | ||||||||
| Primary Practice Address | 2506 WILLOWBROOK PKWY SUITE 300 INDIANAPOLIS, IN 46205-1564 United States Phone: 317-574-1254 | Fax:317-674-0060 | ||||||||
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