Individual
MRS. KHADIJA HANKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 SHIPPAN AVE STE 204, STAMFORD, CT 06902-6075
(203) 516-3363
Mailing address
401 SHIPPAN AVE STE 204, STAMFORD, CT 06902-6075
(203) 517-3363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10802
CT
Other
Enumeration date
09/21/2015
Last updated
12/03/2019
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