Most Relevant Information
Provider Data
| NPI Number: | 1003515883 |
| Provider Name: | MICHAEL KHAN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 44SC06172000 |
Most Important Dates
| Enumeration Date: | 03/01/2023 |
| Last Updated: | 03/01/2023 |
Provider Practice Location
1401 ATLANTIC AVE STE 2800
ATLANTIC CITY
NJ
084017027
Practice Location Phone/Fax
| Phone: | 6094418135 |
| Fax: |
Provider Mailing Location
1401 ATLANTIC AVE STE 2800
ATLANTIC CITY
NJ
084017027
Provider Mailing Phone/Fax
| Phone: | 6094418135 |
| Fax: |