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Individual
MYRIAD R. KHORASANI
Active
Individual
MYRIAD R. KHORASANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
084611-1
NY
1041C0700X
Clinical Social Worker
Primary
121162
MA
Other
Enumeration date
12/10/2011
Last updated
01/28/2019
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