MRS. Angelica I Khaimov, LMSW

NPI #1760747489 in Douglaston, New York

Provider Information

NPI Number: 1760747489
Entity Type: Individual
Name: MRS. Angelica I Khaimov, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 9, 2012
Last Updated: Jul 9, 2012

Practice Location

Address: 24302 NORTHERN BLVD
City: Douglaston
State: New York
ZIP Code: 11362-1150
Phone: (718) 423-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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