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1215108014
KHATIMA SHAH
SOUTH OZONE PARK, NY
NPI
1215108014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 074145-1)
Enumeration Date
2008-03-19
Last Update Date
2008-03-19
Business Address
Ms. KHATIMA SHAH lcsw
13359 116TH ST
SOUTH OZONE PARK, NY 11420-3112
Phone number: 917-714-7248
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Mailing Address
Ms. KHATIMA SHAH lcsw
13359 116TH ST
SOUTH OZONE PARK, NY 11420-3112
Phone number: 917-714-7248
Copy
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