Individual
SAMEER KHETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
112 E ALLEN ST # 3, PHILADELPHIA, PA 19125-4140
(215) 278-9444
Mailing address
5111 SPRINGFIELD AVE APT 1, PHILADELPHIA, PA 19143-4266
(732) 648-7181
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW136509
PA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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