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Individual
KHASHAYAR HEMESI
Active
Individual
KHASHAYAR HEMESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150107510
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150107510
STATE LICENSURE
IL
Enumeration date
07/05/2022
Last updated
07/05/2022
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