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Organization
SIDRAH S KHAN, LICENSED CLINICAL SOCIAL WORKER, INC
Active
Organization
SIDRAH S KHAN, LICENSED CLINICAL SOCIAL WORKER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDRAH S KHAN LCSW (PRESIDENT)
(208) 447-9526
Entity
Organization
Contact information
Practice address
327 N BOYLSTON ST APT 604, LOS ANGELES, CA 90012-4687
(208) 447-9526
Mailing address
327 N BOYLSTON ST APT 604, LOS ANGELES, CA 90012-4687
(208) 447-9526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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