Moira Khettry, LMSW

NPI #1194596585 in Bath, New York

Provider Information

NPI Number: 1194596585
Entity Type: Individual
Name: Moira Khettry, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jan 15, 2024
Last Updated: Jan 15, 2024

Practice Location

Address: 76 VETERANS AVE
City: Bath
State: New York
ZIP Code: 14810-0810
Phone: (716) 904-2309

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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