Individual
DYLAN M KHANAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
36 DIGHTON ST APT 10, BRIGHTON, MA 02135-3228
(203) 915-4667
Mailing address
36 DIGHTON ST APT 10, BRIGHTON, MA 02135-3228
(203) 915-4667
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
000124949
MA
Other
Enumeration date
10/24/2018
Last updated
06/08/2022
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