Individual
HAVA SURI KANE KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2501 W WILLIAM CANNON DR, AUSTIN, TX 78745-5281
(512) 710-8814
Mailing address
7712 MARBLE CREST DR, AUSTIN, TX 78747-4075
(314) 956-4913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105985
TX
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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