Individual
CASSIDY A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
121 FISHER AVE APT F1, TUCKAHOE, NY 10707-2615
(917) 391-8691
Mailing address
121 FISHER AVE APT F1, TUCKAHOE, NY 10707-2615
(917) 391-8691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
109968
NY
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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