Individual
ANGELA KHOSHNOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AM, LCSW
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 553-4528
Mailing address
12401 E 17TH AVE, MAIL STOP F777, AURORA, CO 80045-2548
(720) 553-4528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924785
CO
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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