Individual
LYDIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
556 S PIKE W, SUMTER, SC 29150-2616
(864) 501-3633
Mailing address
556 S PIKE W, SUMTER, SC 29150-2616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2017035970
MO
1041C0700X
Clinical Social Worker
Primary
16908
SC
Other
Enumeration date
10/16/2017
Last updated
07/17/2025
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