Individual
ANGELA KHAIRALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, SOCIAL WORK EP10-635, NEW HAVEN, CT 06510-3220
(203) 200-6360
(203) 688-2395
Mailing address
20 YORK ST, SOCIAL WORK EP10-635, NEW HAVEN, CT 06510-3220
(203) 200-6360
(203) 688-2395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7619
CT
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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