# IBRAHIM MOHAMMAD CHOUDHARY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841500709
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 10382212-3501 | UT | — |
| 1041C0700X | Clinical Social Worker | 10382212-3501 | UT | Yes |
| 172V00000X | Community Health Worker | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2010
- **Last updated:** 03/29/2024