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Individual

BREANNA KHAJEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4925 GREENVILLE AVE STE 1050, DALLAS, TX 75206-4084
(214) 918-1999
Mailing address
4925 GREENVILLE AVE STE 1050, DALLAS, TX 75206-4084
(214) 918-1999
(972) 850-9452

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
66198
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25637123
DL
TX
Enumeration date
12/16/2022
Last updated
10/20/2025
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