Individual
ANGELA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W WALNUT ST STE 375, PASADENA, CA 91124-2048
(626) 395-7100
Mailing address
819 N GARFIELD AVE, ALHAMBRA, CA 91801-1451
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
67917
CA
1041C0700X
Clinical Social Worker
Primary
LCSW82568
CA
Other
Enumeration date
03/02/2016
Last updated
05/10/2018
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