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Individual
KHALIL MARTIN
Active
Individual
KHALIL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW137567
PA
104100000X
Social Worker
Primary
SW137567
PA
Other
Enumeration date
02/10/2021
Last updated
11/01/2023
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