Individual
ANETA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 DAKOTA ST, CRYSTAL LAKE, IL 60012-3732
(815) 391-1000
Mailing address
207 LIONS CT, LAKE ZURICH, IL 60047-7013
(847) 903-3615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.108425
IL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/01/2022
Last updated
01/14/2025
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