Diana Khukhashvili, LMSW
Social Worker in Passaic, NJ. Individual provider (NPI-1).
NPI number1386408649
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1386408649
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Diana Khukhashvili
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2024
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 115410 | NY | Yes |
Practice location
3 Donald AvePassaic, NJ 07055-1912
Phone 347-232-2390
Mailing address
75 Montebello RdSuffern, NY 10901-3746
Phone 845-523-9500
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All 23 Social Worker providers in Passaic · All 1,025 providers in Passaic
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