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Individual
KHANA MATATOVA
Active
Individual
KHANA MATATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2596611
NY
174400000X
Specialist
Primary
2596611
NY
Other
Enumeration date
02/13/2014
Last updated
05/11/2018
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