Individual
ANNIE C KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
PO BOX 93, ASHBURN, VA 20146-0093
(703) 975-2022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001143
VA
Other
Enumeration date
08/30/2006
Last updated
09/07/2007
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