Individual
MAVISH KHAN
Active
Individual
MAVISH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW005286
GA
1041C0700X
Clinical Social Worker
Primary
44SC06071000
NJ
1041C0700X
Clinical Social Worker
CSW005286
GA
Other
Enumeration date
11/07/2014
Last updated
05/21/2025
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